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 |
|---|---|---|---|
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 CONTRACT ADMIN | Contract Administrator; Copying and duplicating; Accounting (including auditing); Direct payment from the plan; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $112K |
| ARNOLD, NEWBOLD, SOLLARS & HOLLINS EIN 43-1174269 PLAN ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $19K |
| RUBINBROWN EIN 43-0765316 PLAN AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $14K |
| CONSTRUCTION BENEFIT AUDIT CORP EIN 43-1244218 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| COMMERCE BANK EIN 43-6334070 BANKING | Recordkeeping and information management (computing, tabulating, data processing, etc.); Custodial (other than securities); Direct payment from the plan; Account maintenance fees Service code 15 | — | $7K |
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 | 3,919 | 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) | 3,919 | 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.