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 |
|---|---|---|---|
| 6 DEGREES HEALTH DX LLC EIN 81-4242649 NONE | Claims processing; Other services Service code 12 | 5800 NE PINEFARM CT 200 HILLSBORO, OR 97124 | $497K |
| BENEFIT MANAGEMENT LLC EIN 48-1168746 NONE | Other services; Plan Administrator; Claims processing Service code 12 | 2015 16TH STREET GREAT BEND, KS 67530 | $196K |
| CENTIVO EIN 30-1095511 NONE | Claims processing Service code 12 | 199 SCOTT STREET, STE 800 BUFFALO, NY 14204 | $163K |
| TRIA HEALTH LLC EIN 27-1515235 NONE | Claims processing Service code 12 | 7101 COLLEGE BLVD STE 600 OVERLAND PARK, KS 66210 | $110K |
| MEDWATCH, LLC EIN 16-1662117 NONE | Claims processing; Other services Service code 12 | PO BOX 952679 LAKE MARY, FL 327952679 | $72K |
| NEW DIRECTIONS BEHAVIORAL HEALTH EIN 43-1698690 NONE | Contract Administrator Service code 13 | PO BOX 6729 LEAWOOD, KS 66206 | $28K |
| TELADOC, INC. EIN 04-3705970 NONE | Accounting (including auditing); Other services; Claims processing Service code 10 | 2015 16TH STREET GREAT BEND, KS 67530 | $19K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Claims processing Service code 12 | 2015 16TH STREET GREAT BEND, KS 67530 | $16K |
| MD LIVE NONE | Other services Service code 49 | 3350 SW 148 AVE 300 MIRAMAR, FL 33027 | $14K |
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 | 1,622 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,622 | 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.