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 |
|---|---|---|---|
| GROUP BENEFIT SERVICES EIN 52-1200892 NONE | Claims processing; Contract Administrator; Other services; Other commissions Service code 12 | 6 NORTH PARK DRIVE, SUITE 310 HUNT VALLEY, MD 21030 | $74K |
| ZELIS EIN 86-1040704 NONE | Contract Administrator; Other services Service code 13 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $27K |
| CIGNA EIN 84-0467907 NONE | Contract Administrator; Other services Service code 13 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $22K |
| OPTUMHEALTH FINANCIAL SERVICES EIN 41-1591944 NONE | Other services Service code 49 | 62725 COLLECTION CENTER DR CHICAGO, IL 60693 | $10K |
| HEALTHCARE INTERACTIVE, INC EIN 20-8995931 NONE | Other services; Contract Administrator Service code 13 | 57 STREET ROAD SUITE O SOUTH HAMPTON, PA 18966 | $9K |
| CHARLES HARLAN NONE | Insurance agents and brokers Service code 22 | 5917 MEADOWOOD ROAD BALTIMORE, MD 21212 | $8K |
| WILSON BARNES JR. NONE | Insurance agents and brokers Service code 22 | 4 ST. MICHAELS WAY BALTIMORE, MD 21212 | $8K |
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 | 89 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 89 | 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.