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 |
|---|---|---|---|
| WELLS FARGO ADVISORS CUSTODIAL | Custodial (securities) Service code 19 | 111 EAST WAYNE STREET 906-786-5256 FORT WAYNE, IN 46802 | $64K |
| ACCUSERVE EIN 37-4822297 CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 101 GLADSTONE, MI 49837 | $18K |
| WATKINS, ROSS, & COMPANY EIN 38-1477362 ACTUARY | Actuarial Service code 11 | 161 OTTAWA N W SUITE 505 GRAND RAPIDS, MI 49503 | $7K |
| SCHNEIDER, LARCHE, HAAPALA, & CO. EIN 20-0345993 PLAN AUDITOR | Accounting (including auditing) Service code 10 | 401 LUDINGTON STREET ESCANABA, MI 49829 | $5K |
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 | 740 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 306 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 58 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,104 | 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.