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 |
|---|---|---|---|
| HEALTHY ALLIANCE LIFE INS. CO. EIN 86-0257201 NONE | Account maintenance fees Service code 65 | — | $611K |
| XEROX CORPORATION EIN 16-0468020 NONE | Account maintenance fees Service code 65 | — | $400K |
| NISA EIN 48-1140940 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $354K |
| NUVEEN ASSET MANAGEMENT LLC EIN 27-4357327 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $256K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Account maintenance fees Service code 65 | — | $79K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 TRUSTEE | Other fees; Float revenue; Other investment fees and expenses; Custodial (other than securities); Investment management Service code 18 | — | $76K |
| TOWERS WATSON EIN 23-1159360 NONE | Consulting (general); Actuarial Service code 11 | — | $41K |
| CROWE HORWATH EIN 35-0921680 NONE | Accounting (including auditing) Service code 10 | — | $16K |
| ADVERTISERS PRINTING COMPANY EIN 43-0153380 NONE | Account maintenance fees Service code 65 | — | $9K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9,373 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 9,373 | 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.