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 |
|---|---|---|---|
| BUSINESSOLVER.COM, INC. EIN 42-1503807 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $196K |
| AGRI-BUSINESS BENEFIT GROUP, INC. EIN 48-0951789 PLAN EXECUTIVE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $162K |
| PROVALUE COOPERATIVE, INC. EIN 48-0519519 SHAREHOLDER OF PLAN SPON | Direct payment from the plan; Trustee (directed); Accounting (including auditing); Contract Administrator Service code 10 | — | $100K |
| AON HEWITT EIN 22-2232264 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $77K |
| COMMERCE BANK, N.A. EIN 44-0206815 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $40K |
| THE PLEXUS GROUPE, LLC EIN 36-4116295 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $33K |
| SWINDOLL, JANZEN, HAWK, & LOYD, LLC EIN 48-1041128 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $21K |
| HINKLE LAW FIRM EIN 48-1029309 GENERAL COUNCEL | Legal; Direct payment from the plan Service code 29 | — | $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 | 2,400 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,414 | 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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.