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 |
|---|---|---|---|
| COMMON ARC EIN 36-3595141 NONE | Contract Administrator; Other services Service code 13 | — | $858K |
| ESCREEN, INC. EIN 95-4810460 NONE | Other services; Contract Administrator Service code 13 | — | $642K |
| MARK GARRETT EIN 48-1069941 EMPLOYEE | Plan Administrator Service code 14 | — | $332K |
| BRIDGET CONNORS EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $245K |
| JAY BROPHY EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $232K |
| REBECCA BURCH EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $200K |
| CASEY TIBBS EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $189K |
| HILTON SANDESTIN BEACH HOTEL, LTD. EIN 59-3398821 NONE | Other services; Direct payment from the plan Service code 49 | — | $130K |
| REBECCA PIETZ EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $120K |
| NICOLE BENSON EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $102K |
| ELLEN MINTON EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $97K |
| ALLISON PAUL EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $75K |
| INTERNATIONAL BROTHERHOOD OF BOILER EIN 48-6031851 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 15 | — | $59K |
| HEIDI BISCHE EIN 48-1069941 EMPLOYEE | Employee (plan) Service code 30 | — | $54K |
| TECHNOLOGY SOLUTIONS GROUP, INC. EIN 48-1203842 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $44K |
| MICROSOFT AZURE NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 1 MICROSOFT WAY REDMOND, WA 98052 | $37K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $36K |
| BOILERMAKER NATIONAL PENSION TRUST EIN 48-0669346 NONE | Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $33K |
| BANK OF LABOR EIN 48-0150325 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $25K |
| ADVANCED INDUSTRIAL CARE EIN 94-2689195 NONE | Contract Administrator; Other services Service code 13 | — | $17K |
| ALERE TOXICOLOGY SERVICES, INC EIN 72-0846066 NONE | Contract Administrator; Other services Service code 13 | — | $12K |
| THE K LEARNING GROUP EIN 27-4428760 NONE | Other services Service code 49 | — | $10K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $10K |
| VIRTUAL IMAGING, INC. EIN 43-1786115 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| BLAKE & UHLIG, PA EIN 48-0918231 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| MERCY ST. VINCENT OCC HEALTH EIN 34-4428250 NONE | Other services; Contract Administrator; Direct payment from the plan Service code 13 | — | $6K |
| PAYCHEX EIN 16-1470238 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
| UNION INSURANCE GROUP EIN 36-4226088 NONE | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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 | 54,592 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 54,592 | 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.