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 |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO. EIN 59-1031071 NONE | Claims processing; Non-monetary compensation; Other services; Participant communication; Contract Administrator; Direct payment from the plan; Float revenue Service code 12 | — | $1.0M |
| EDWARD REH, M.D. NONE | Other services; Direct payment from the plan Service code 49 | 1704 WINESAP LANE KIRKWOOD, MO 63122 | $239K |
| ANDERS MINKLER HUBER & HELM LLP EIN 43-0831507 NONE | Accounting (including auditing); Consulting (general); Direct payment from the plan; Consulting fees Service code 10 | — | $190K |
| QUEST DIAGNOSTIC NONE | Direct payment from the plan; Other services Service code 49 | P.O. BOX 14730 ST. LOUIS, MO 63150 | $188K |
| DELTA DENTAL EIN 43-0908349 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $176K |
| A. HERZOG, M.D. NONE | Other services; Direct payment from the plan Service code 49 | 816 S. BEMISTON ST. LOUIS, MO 63105 | $176K |
| HARTNETT REYES-JONES, LLC EIN 43-1205253 NONE | Direct payment from the plan; Legal Service code 29 | — | $176K |
| M. COLLOM EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $172K |
| K. O'MARA EIN 43-0657966 NONE | Direct payment from the plan Service code 50 | — | $156K |
| RAFI KEVORKIAN, M.D. NONE | Other services; Direct payment from the plan Service code 49 | 522 N. NEW BALLAS RD, STE 317 ST. LOUIS, MO 63141 | $149K |
| M. MCCLIMENS EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $139K |
| MAXORPLUS PHARMACY BENEFIT NONE | Direct payment from the plan; Other services Service code 49 | 320 S. POLK ST. 200 AMARILLO, TX 79101 | $138K |
| P. GALLAGHER EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $134K |
| ASMED HEALTH PARTNERSHIP EIN 65-0456637 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $132K |
| T. BIELICKI EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $129K |
| SAV RX NONE | Direct payment from the plan; Other services Service code 49 | 224 NORTH PARK AVENUE FREMONT, NE 68025 | $127K |
| D. O'CONNELL EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $127K |
| M. HEPBURN EIN 43-0657966 NONE | Direct payment from the plan Service code 50 | — | $127K |
| K. MCDONOUGH EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
| A. CAMMARATA EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $124K |
| M. REESE EIN 43-0657966 NONE | Direct payment from the plan Service code 50 | — | $122K |
| R. ARBUTHNOT EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $121K |
| J. SANSONE EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $118K |
| B. HOWELL EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| B. FLYNN EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $111K |
| J. HICKEY EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| PAUL B. HOFFMAN NONE | Other services; Direct payment from the plan Service code 49 | 11405 NEW HALLS FERRY FLORISSANT, MO 63033 | $105K |
| N. BORDERS EIN 43-0657966 NONE | Direct payment from the plan Service code 50 | — | $96K |
| ANDERSON COMPUTER CONSULTANTS LLC NONE | Other services; Direct payment from the plan Service code 49 | 1108 E PATTERSON ST, STE 1 KIRKWOOD, MO 63501 | $96K |
| K. BUSHMAN EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| L. DELUCA EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| M. DANCHUS EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| COMMERCE TRUST COMPANY EIN 43-0356370 NONE | Investment management fees paid directly by plan; Shareholder servicing fees; Custodial (securities) Service code 19 | — | $81K |
| S. HUNT EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| C. LOCK EIN 43-0657966 NONE | Employee (plan) Service code 30 | — | $80K |
| J. OWENS EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| L. NASH EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| M. SANDERS EIN 43-0657966 NONE | Employee (plan) Service code 30 | — | $78K |
| C. NENNINGER EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| D. O'NEAL EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| K. HOLDMEYER EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| L. KUHN, M.D. NONE | Other services; Direct payment from the plan Service code 49 | 12111 BELLE MEADE ROAD ST. LOUIS, MO 63131 | $77K |
| S. GEORGER EIN 43-0657966 NONE | Employee (plan) Service code 30 | — | $76K |
| L. SCHAFER EIN 43-0657966 NONE | Direct payment from the plan Service code 50 | — | $76K |
| J. DISKO EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| PBIRX NONE | Direct payment from the plan; Other services Service code 49 | 612 WHEELERS FARMS ROAD MILFORD, CT 06461 | $74K |
| B. FINK EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| T. MADDEN EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| C. CHRISTIAN-BRICE EIN 43-0657966 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| L. SAGE EIN 43-0657966 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
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 | 2,600 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,665 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,265 | 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.