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 |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COL EIN 36-2739571 CLAIMS THIRD PARTY ADMIN | Claims processing Service code 12 | 9900 BREN ROAD EAST MINNETONKA, MN 55343 | $1.7M |
| TOWERS WATSON EIN 27-0676603 ACTUARY | Actuarial Service code 11 | 101 SOUTH HANLEY ST. LOUIS, MO 63105 | $182K |
| EXPRESS SCRIPTS EIN 22-3461740 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | ONE EXPRESS WAY ST LOUIS, MO 63121 | $156K |
| GROOM LAW GROUP, CHARTERED EIN 52-1219029 LAWYER | Legal Service code 29 | 1701 PENNSYLVANIA AVENUE, NW WASHINGTON, DC 20006 | $71K |
| TRI-STAR SYSTEMS EIN 41-1458791 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | 14323 SOUTH OUTER 40 ROAD SUITE 200 SOUTH CHESTERFIELD, MO 63017 | $50K |
| HEALTH EQUITY, INC EIN 52-2383166 HEALTH SAVINGS COMPANY | Claims processing Service code 12 | 15 WEST SCENIC POINTE DRIVE DRAPER, UT 84020 | $30K |
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 | 2,398 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,432 | 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.