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 |
|---|---|---|---|
| MORGAN STANLEY EIN 26-4310632 NONE | Direct payment from the plan; Other investment fees and expenses; Custodial (securities); Investment advisory (plan); Securities brokerage; Securities brokerage commissions and fees; Other services Service code 19 | — | $541K |
| BENESYS, INC EIN 38-2383171 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Contract Administrator Service code 10 | — | $131K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $71K |
| WATKINS PAWLICK CALATI & PRIFTI, PC EIN 83-2893229 SEE ATTACHED | Legal; Direct payment from the plan Service code 29 | — | $41K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 SEE ATTACHED | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $20K |
| AMERICAN GRAPHICS PRINTING EIN 38-2090931 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $10K |
| BRENTWOOD ASSET ADVISOR NONE | Consulting (pension); Direct payment from the plan Service code 17 | 5999 RIDGE VIEW ST CARMARILLO, CA 93012 | $9K |
| STEFANSKY, HALLOWAY & NICHOLS, INC. EIN 38-2388845 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $5K |
| ALIGNED PRINCIPAL NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 711 HIGH STREET DES MOINES, IA 50392 | $0 |
| ARISTOTLE NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 489 FIFTH AVENUE 10TH FLR NEW YORK, NY 10017 | $0 |
| BAHL & GAYNOR NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 255 E. FIFTH ST STE 2700 CINCINATI, OH 45202 | $0 |
| CAUSEWAY CAPITAL MANAGEMENT, LLC NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 11111 SANTA MONICA BLVD LOS ANGELES, CA 90025 | $0 |
| CLEARBRIDGE INVESTMENTS NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 620 EIGHTH AVE, 48TH FLR NEW YORK, NY 10018 | $0 |
| COHEN & STEERS NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 280 PARK AVENUE, 10TH FLR NEW YORK, NY 10017 | $0 |
| FULLER & THALER ASSET MANAGEMENT NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 411 BOREL AVENUE, STE 300 SAN MATEO, CA 94402 | $0 |
| GENEVA NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 4 TIMES SQUARE 7TH FLOOR NEW YORK, NY 10036 | $0 |
| LAZARD ASSET MANAGEMENT NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 30 ROCKERFELLER PLAZA NEW YORK, NY 101126300 | $0 |
| PIONEER INVESTMENTS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | P.O. BOX 219427 KANSAS CITY, MO 641219427 | $0 |
| SAGE ADVISORS, LLC NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 115 2ND AVE. N. 200 EDMONDS, WA 98020 | $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 | 608 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 613 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 257 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 143 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,621 | 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.