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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD KC EIN 43-1257251 PREFERRED PROVIDER ORG | Claims processing; Other services; Direct payment from the plan; Contract Administrator Service code 12 | — | $493K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 THIRD PARTY ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $399K |
| ARNOLD NEWBOLD SOLLARS & HOLLINS PC EIN 43-1174269 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $134K |
| THE SEGAL COMPANY EIN 13-1975125 ACTUARIAL | Actuarial; Direct payment from the plan; Insurance agents and brokers; Consulting fees; Insurance brokerage commissions and fees; Consulting (general) Service code 11 | — | $83K |
| CONSTRUCTION BENEFITS AUDIT CORP EIN 43-1244218 EMPLOYER AUDIT FIRM | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $64K |
| RUBINBROWN LLP EIN 43-0765316 PLAN AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $29K |
| COMMERCE TRUST NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 1000 WALNUT ST KANSAS CITY, MO 64106 | $27K |
| PREFERRED HEALTH PROFESSIONALS EIN 43-1392960 PREFERRED PROVIDER ORG | Contract Administrator; Direct payment from the plan; Claims processing; Other services Service code 12 | — | $18K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $15K |
| US POSTAL SERVICE EIN 41-0760000 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $13K |
| COMMERCE BANK EIN 43-6334070 BANKING SERVICES | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $10K |
| LEE'S PRINTING COMPANY NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 804 CENTRAL AVE KANSAS CITY, KS 66101 | $9K |
| SEGAL ADVISORS, INC. EIN 13-2646110 INVESTMENT CONSULTING | Investment advisory (plan); Direct payment from the plan; Consulting fees Service code 27 | — | $8K |
| IRON MOUNTAIN NONE | Direct payment from the plan; Other services Service code 49 | 6301 WINCHESTER AVENUE SUITE 817 KANSAS CITY, MO 64133 | $6K |
| BANK OF LABOR NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | 756 MINNESOTA AVAENUE 2ND FLOOR KANSAS CITY, KS 66101 | $5K |
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 | 975 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 217 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,192 | 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.