No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LAIN, FAULKNER & COMPANY, P.C. EIN 75-1835758 ACCOUNTANT | Accounting (including auditing) Service code 10 | 400 N. ST. PAUL STREET, STE 600 DALLAS, TX 75201 | $60K |
| AKIN, GUMP, STRAUSS, HAUER & FELD EIN 75-1338644 ATTORNEY | Legal Service code 29 | 1700 PACIFIC AVENUE, SUITE 4100 DALLAS, TX 75201 | $22K |
| MCELROY & COMPANY EIN 75-2682590 AUDITOR | Accounting (including auditing) Service code 10 | 15851 DALLAS PARKWAY, STE 800 ADDISON, TX 75001 | $10K |
| HEALTHSMART BENEFITS SOLUTIONS, INC EIN 75-1857307 CLAIMS ADMINISTRATION | Claims processing Service code 12 | P O BOX 207463 DALLAS, TX 75320 | $8K |
| AETNA - HARTFORD CLAIMS ADMINISTRATION | Claims processing Service code 12 | P O BOX 88863 CHICAGO, IL 60695 | $6K |
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 | 153 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 24 | $6K |
| Prescription drug | BENISTAR | 28 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 28 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.