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 |
|---|---|---|---|
| UAW-GM CTR FOR HUMAN RESOURCES EIN 38-3211550 LANDLORD | Other services Service code 49 | — | $61K |
| GALEA, DOLORES M EIN 38-2584640 NONE | Plan Administrator Service code 14 | — | $50K |
| UPTYME LLC EIN 38-3429283 NONE | Consulting (general) Service code 16 | — | $48K |
| MASON, MATTHEW J EIN 38-2584640 NONE | Plan Administrator Service code 14 | — | $42K |
| BAILEY, HARRELL L EIN 38-2584640 NONE | Accounting (including auditing) Service code 10 | — | $41K |
| EIZELMAN, ELAINE EIN 38-2584640 NONE | Employee (plan) Service code 30 | — | $41K |
| DACE, DONALD F EIN 38-2584640 NONE | Employee (plan) Service code 30 | — | $40K |
| HINES, JEFFREY EIN 38-2584640 NONE | Accounting (including auditing) Service code 10 | — | $35K |
| MILLER, FREDERICK L EIN 38-2584640 NONE | Employee (plan) Service code 30 | — | $29K |
| SCIMEMI, NINA M EIN 38-2584640 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $26K |
| MILES, PETER M EIN 38-2584640 NONE | Employee (plan) Service code 30 | — | $26K |
| GEORGE JOHNSON AND CO EIN 38-2029668 NONE | Accounting (including auditing) Service code 10 | — | $26K |
| MATTHEWS-WHITE, ANTOINETTE EIN 38-2584640 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $25K |
| SNELL, TAMMY MICHELLE EIN 38-2584640 NONE | Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $19K |
| SMITH, WILLIAM EIN 38-2584640 NONE | Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $19K |
| EISENBERG, REBECCA S EIN 38-2584640 NONE | Contract Administrator Service code 13 | — | $19K |
| COLEMAN, MILDRED EIN 38-2584640 NONE | Claims processing; Employee (plan) Service code 12 | — | $17K |
| ROBERTSON, PATRICIA EIN 38-2584640 NONE | Employee (plan); Claims processing Service code 12 | — | $17K |
| BOLTON, KATHERINE A EIN 38-2584640 NONE | Accounting (including auditing) Service code 10 | — | $14K |
| DIAZ, JOSE EIN 38-2584640 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $14K |
| PASQUIN, THERESA EIN 38-2584640 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $14K |
| SHELL CHARESSE EIN 38-2584640 NONE | Employee (plan); Claims processing Service code 12 | — | $13K |
| FORTON, DIANNA EIN 38-2584640 NONE | Accounting (including auditing) Service code 10 | — | $13K |
| LEWIS, MADELINE M EIN 38-2584640 NONE | Employee (plan) Service code 30 | — | $13K |
| HUGHES, AUDREY EIN 38-2584640 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $13K |
| DAIGNEAU, KATHRYN A EIN 38-2584640 NONE | Employee (plan) Service code 30 | — | $12K |
| LUMSDEN, RUTH ANN EIN 38-2584640 NONE | Claims processing; Employee (plan) Service code 12 | — | $12K |
| COLE, VICKIE L EIN 38-2584640 NONE | Claims processing Service code 12 | — | $11K |
| EPICOR SOFTWARE CORP NONE | Consulting (general) Service code 16 | DEPARTMENT 1547 LOS ANGELES, CA 90084 | $7K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | 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."
No prospect flags tripped on this filing.