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 |
|---|---|---|---|
| I.E. SHAFFER & CO EIN 22-1750854 NONE | Plan Administrator Service code 14 | 830 BEAR TAVERN ROAD PO BOX 1028 WEST TRENTON, NJ 08628 | $271K |
| HORIZON HEALTHCARE SERVICES, INC EIN 22-0999690 NONE | Contract Administrator Service code 13 | — | $141K |
| CAPITAL RX, INC EIN 35-2612946 NONE | Contract Administrator Service code 13 | — | $54K |
| DELTA DENTAL OF NEW JERSEY, INC EIN 22-1896118 NONE | Contract Administrator Service code 13 | — | $43K |
| GERSON & ASSOC CPAS AND ADVISORS PC EIN 22-3163246 NONE | Accounting (including auditing) Service code 10 | 201 WEST PASSAIC STREET SUITE 405 ROCHELLE PARK, NJ 07662 | $27K |
| MORGAN STANLEY NONE | Investment management; Investment advisory (plan) Service code 27 | 31 WEST 52ND STREET 23RD FLOOR NEW YORK, NY 10019 | $23K |
| OBRIEN BELLAND & BUSHINSKY EIN 37-1467056 NONE | Legal Service code 29 | — | $16K |
| MSPC CERTIFIED PUBLIC ACCOUNTANTS EIN 22-2951202 NONE | Accounting (including auditing) Service code 10 | — | $15K |
| THE MCKEOGH COMPANY EIN 22-3082451 NONE | Actuarial Service code 11 | — | $10K |
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 | 1,735 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 856 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,591 | 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. Exposed to catastrophic claims. Stop-loss sales target.