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 |
|---|---|---|---|
| JAMES SANDAGER EIN 94-1737782 ADVISOR | Insurance services Service code 23 | — | $12K |
| ALLIANCEBERNSTEIN L.P. EIN 13-4064930 ADVISOR | Insurance services Service code 23 | — | $10K |
| RAYMOND JAMES EIN 59-1237041 ADVISOR | Insurance services; Investment management fees paid directly by plan Service code 23 | 1601 WEST LAKES PARKWAY SUITE 210 W DES MOINES, IA 50266 | $8K |
| THE PLANNERS PROFESSIONAL SERVICES EIN 42-1317552 INVESTMENT ADVISORY | Direct payment from the plan; Investment advisory (participants); Investment advisory (plan) Service code 26 | — | $7K |
| PRINCIPAL LIFE INSURANCE COMPANY EIN 42-0127290 CONTRACT ADMINISTRATOR | Contract Administrator; Participant loan processing; Recordkeeping fees; Direct payment from the plan Service code 13 | — | $6K |
| THE RETIREMENT ADVANTAGE, INC. EIN 39-1816008 TPA | Other services; Other fees Service code 49 | 47 PARK PLACE SUITE 850 APPELTON, WI 54914 | $0 |
| VSR FINANCIAL SERVICES INC EIN 43-1302302 OTHER SERVICES | Other services; Other fees; Other commissions Service code 49 | — | $0 |
| WILLSHIRE ASSOCIATES INC | Other investment fees and expenses; Investment advisory (plan) Service code 27 | — | $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 | 131 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 37 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 169 | 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.