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 |
|---|---|---|---|
| BCBSM, INC. EIN 41-0984460 NONE | Direct payment from the plan; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | $8.8M |
| HEALTHPARTNERS ADMINISTRATORS, INC. EIN 41-1629390 NONE | Claims processing; Account maintenance fees; Direct payment from the plan Service code 12 | — | $7.8M |
| CVS PHARMACY, INC EIN 05-0340626 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $1.8M |
| AON HEWITT EIN 36-2235791 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $1.4M |
| DDMN ASO, LLC EIN 41-1905554 NONE | Claims processing; Direct payment from the plan; Account maintenance fees Service code 12 | — | $1.1M |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Direct payment from the plan; Claims processing; Account maintenance fees Service code 12 | — | $262K |
| AETNA BAHAVIORAL HEALTH LLC EIN 23-2229683 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $209K |
| RR DONNELLY EIN 36-1004130 NONE | Direct payment from the plan; Other fees Service code 50 | — | $168K |
| WESTERN ASSET MANAGEMENT COMPANY EIN 95-2705767 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $61K |
| JPMORGAN CHASE BANK, N.A. TREASURY EIN 13-4994650 NONE | Direct payment from the plan; Investment management Service code 28 | — | $49K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $47K |
| BANK OF NEW YORK MELLON EIN 23-0559306 NONE | Direct payment from the plan; Custodial (other than securities); Trustee (bank, trust company, or similar financial institution) Service code 18 | — | $32K |
| 3M COMPANY EIN 41-0417775 PLAN SPONSOR | Claims processing; Direct payment from the plan; Other fees; Plan Administrator; Contract Administrator Service code 12 | — | $11K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Custodial (securities); Other fees; Investment management fees paid indirectly by plan; Soft dollars commissions; Investment management fees paid directly by plan Service code 19 | — | $10K |
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 | 37,482 | 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) | 37,482 | 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.