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 26-4310844 INVESTMENT CU STODIAN | Securities brokerage; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Other commissions; Securities brokerage commissions and fees; Investment advisory (plan); Direct payment from the plan; Custodial (securities); Other services Service code 15 | 5051 WESTHEIMER, STE. 2100 HOUSTON, TX 77056 | $78K |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | PO BOX 1449 GOODLETTSVILLE, TN 37070 | $60K |
| CIGNA HEALTHCARE EIN 06-0303370 CLAIM ADMINIS TRAT | Named fiduciary; Non-monetary compensation; Contract Administrator; Direct payment from the plan; Participant communication; Claims processing; Float revenue; Other services Service code 12 | 1111 MARKET STREET CHATTANOOGA, TN 37402 | $26K |
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 | 54 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 54 | 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.