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 |
|---|---|---|---|
| AETNA, INC. EIN 06-6033492 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 151 FARMINGTON AVENUE HARTFORD, CT 06186 | $4.6M |
| TMDG, LLC EIN 03-0583064 NONE | Accounting (including auditing) Service code 10 | 500 E PRATT STREET SUITE 525 BALTIMORE, MD 21202 | $178K |
| UNITED HEALTHCARE EIN 36-2739571 NONE | Contract Administrator Service code 13 | 185 ASYLUM STREET HARTFORD, CT 06103 | $72K |
| SUNTRUST BANKS, INC. EIN 58-0466330 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 303 PEACHTREE STREET NE SUITE 3200 ATLANTA, GA 30308 | $29K |
| WEAVER BROTHERS INSURANCE EIN 13-2834414 NONE | Insurance agents and brokers Service code 22 | 7315 WISCONSIN AVENUE EAST SUITE 90 BETHESDA, MD 20814 | $13K |
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 | 150,737 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 150,737 | 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.