No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $248K |
| BENEFITS MANAGEMENT GROUP, INC EIN 20-0188125 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $204K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment management fees paid indirectly by plan; Direct payment from the plan; Investment management fees paid directly by plan; Non-monetary compensation; Custodial (other than securities); Other services; Distribution (12b-1) fees; Sub-transfer agency fees; Securities brokerage commissions and fees Service code 18 | — | $108K |
| KERBER, ECK & BRAECKEL LLP EIN 43-0352985 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $50K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $37K |
| CAVANAGH & O'HARA EIN 37-1259635 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| MED-CARE MANAGEMENT EIN 88-0429522 NONE | Other services; Direct payment from the plan; Consulting (general) Service code 16 | — | $20K |
| HEALTH MANAGEMENT CONCEPTS, INC EIN 75-3189468 NONE | Participant communication; Consulting (general); Direct payment from the plan Service code 16 | — | $16K |
| TED WINDSOR & ASSOCIATES EIN 36-4374704 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $0 |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 566 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 302 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 868 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.