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 |
|---|---|---|---|
| NEBA EIN 65-0498809 NONE | Contract Administrator Service code 13 | — | $65K |
| CIGNA HEALTHCARE EIN 59-1031071 NONE | Contract Administrator; Direct payment from the plan; Float revenue; Other services; Participant communication; Claims processing Service code 12 | — | $27K |
| WILLIS TOWERS WATSON EIN 26-0775680 NONE | Contract Administrator Service code 13 | — | $26K |
| ATLANTA CAPITAL EIN 58-2236910 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $12K |
| ARNALL GOLDEN GREGORY EIN 58-0543673 NONE | Legal Service code 29 | — | $9K |
| DENNIS G JENKINS, CPA, LLC EIN 20-5886120 NONE | Accounting (including auditing) Service code 10 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 583 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 583 | 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.