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 |
|---|---|---|---|
| CLEVELAND CLINIC FOUNDATION EIN 34-0714585 NONE | Other services Service code 49 | — | $2.5M |
| TULANE EDUCATIONAL FUND EIN 72-0423889 NONE | Other services Service code 49 | — | $2.3M |
| ATHLETES PERFORMANCE EIN 56-2590587 NONE | Other services Service code 49 | — | $1.6M |
| YMCA OF THE USA EIN 36-3258696 NONE | Other services Service code 49 | — | $1.2M |
| MANPOWER US INC. EIN 39-1836586 NONE | Other services Service code 49 | — | $588K |
| HOUSE OF ATHLETE HOLDINGS, LLC EIN 84-3451133 NONE | Other services Service code 49 | — | $583K |
| THE CENTER FOR THE STUDY OF RETIRED EIN 56-6001393 NONE | Other services Service code 49 | — | $571K |
| ATHLIFE, INC EIN 46-2191151 NONE | Consulting (general); Other services Service code 16 | — | $480K |
| MASSACHUSETTS GENERAL PHYSICIANS OR EIN 04-2807148 NONE | Other services Service code 49 | — | $275K |
| FINANCIAL FINESSE EIN 94-3333910 NONE | Consulting (general) Service code 16 | — | $160K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Participant communication; Contract Administrator; Claims processing; Other services; Direct payment from the plan; Non-monetary compensation; Float revenue Service code 12 | — | $114K |
| CENTRAL DATA SERVICES INC. EIN 25-1352803 NONE | Other services Service code 49 | — | $36K |
| NB INVESTIGATIVE GROUP EIN 84-3799074 NONE | Other services Service code 49 | — | $33K |
| SCORE FOUNDATION EIN 52-1962712 NONE | Other services Service code 49 | — | $17K |
| NEWPORT TRUST COMPANY EIN 27-4411131 FIDUCIARY | Named fiduciary; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $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 | 7,489 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 7,489 | 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."
No prospect flags tripped on this filing.