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 SMITH BARNEY EIN 26-4310632 NONE | Custodial (securities) Service code 19 | — | $118K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial Service code 11 | — | $16K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Accounting (including auditing) Service code 10 | — | $13K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Accounting (including auditing) Service code 10 | — | $12K |
| SACHS WALDMAN PROFESSIONAL CORP. EIN 39-1905521 NONE | Legal Service code 29 | — | $10K |
| MASSACHUSETTS MUTUAL LIFE INS. CO. EIN 04-1590850 NONE | Contract Administrator Service code 13 | — | $7K |
| CAMBIAR INVESTORS NONE | Investment management Service code 28 | P.O. BOX 219009 KANSAS CITY, MO 64121 | $0 |
| CLEARBRIDGE INVESTMENTS, LLC NONE | Investment management Service code 28 | 620 EIGHT AVE., 48TH FLR NEW YORK, NY 10018 | $0 |
| DELAWARE CAPITAL NONE | Investment management Service code 28 | 2005 MARKET STREET PHILADELPHIA, PA 191037094 | $0 |
| EDGE ASSET MANAGEMENT NONE | Investment management Service code 28 | 601 UNION ST. SUITE 2200 SEATTLE, WA 98101 | $0 |
| INVESCO INVESTMENT SERVICES, INC. NONE | Investment management Service code 28 | P.O. BOX 219078 KANSAS CITY, MO 641219078 | $0 |
| JOHN HANCOCK NONE | Investment management Service code 28 | P.O. BOX 55913 BOSTON, MA 022055913 | $0 |
| KAYNE ANDERSON RUDNICK INVESTMENT NONE | Investment management Service code 28 | 1800 AVENUE OF THE STARS LOS ANGELES, CA 90067 | $0 |
| LAZARD ASSET MANAGEMENT NONE | Investment management Service code 28 | 30 ROCKERFELLER PLAZA NEW YORK, NY 10112 | $0 |
| THE LONDON COMPANY NONE | Investment management Service code 28 | 1800 BAYBERRY CT 301 RICHMOND, VA 23226 | $0 |
| WESTERN ASSET MANAGEMENT NONE | Investment management Service code 28 | 385 EAST COLORADO BLVD. PASEDENA, CA 91101 | $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 | 199 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 169 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 18 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 470 | 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.