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 |
|---|---|---|---|
| EBS MASTER, LLC EIN 20-5591816 VENDOR | Other services; Other fees Service code 49 | 3055 LEBANON PIKE, STE 1000 NASHVILLE, TN 37214 | $45K |
| CAROL J. WOODWARD EIN 44-0545275 EMPLOYEE | Employee (plan sponsor) Service code 35 | 310 NE MULBERRY LEES SUMMIT, MO 640865861 | $44K |
| LORI B. HARDING EIN 44-0545275 EMPLOYEE | Employee (plan sponsor) Service code 35 | 310 NE MULBERRY LEES SUMMIT, MO 640865861 | $40K |
| US BANK EIN 31-0841368 VENDOR | Other fees Service code 99 | P.O. BOX 790408 ST. LOUIS, MO 631790408 | $37K |
| GOVERNMENT EMPLOYEES HEALTH ASSN, I EIN 44-0545275 SELF | Other fees Service code 99 | 310 NE MULBERRY LEES SUMMIT, MO 640865861 | $36K |
| SHERI L. BENNAKA EIN 44-0545275 EMPLOYEE | Employee (plan sponsor) Service code 35 | 310 NE MULBERRY LEES SUMMIT, MO 640865861 | $30K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 VENDOR | Other fees Service code 99 | 900 COTTAGE GROVE ROAD HARTFORD, CT 06152 | $22K |
| BKD, LLP EIN 44-0160260 VENDOR | Accounting (including auditing) Service code 10 | 1201 WALNUT STREET, STE 1700 KANSAS CITY, MO 641062246 | $15K |
| US POSTMASTER VENDOR | Other fees Service code 99 | 1951 NE RICE ROAD LEES SUMMIT, MO 640649992 | $12K |
| ELECTRONIC NETWORK SYSTEMS, INC. EIN 84-1162764 VENDOR | Other fees Service code 99 | 1755 TELSTAR DRIVE, STE 400 COLORADO SPRINGS, CO 80920 | $10K |
| AMERICAN DENTAL EXAMINERS, INC. EIN 13-3010225 VENDOR | Consulting (general) Service code 16 | 277 NORTH AVENUE, 2ND FLOOR NEW ROCHELLE, NY 10801 | $9K |
| DST OUTPUT, INC. EIN 43-1239723 VENDOR | Other services Service code 49 | 2600 SOUTHWEST BLVD KANSAS CITY, MO 64108 | $9K |
| SUMMIT LITHO, INC. EIN 43-1652167 VENDOR | Other services Service code 49 | 1807 SW MARKET STREET LEES SUMMIT, MO 64082 | $7K |
| QWEST COMMUNICATIONS COMPANY, LLC EIN 04-6141739 VENDOR | Other services Service code 49 | 1801 CALIFORNIA STREET, 25TH FLOOR DENVER, CO 80202 | $6K |
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 | 1,699 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14,753 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 16,452 | 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.