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 |
|---|---|---|---|
| UNION LABOR LIFE INSURANCE COMPANY NONE | Insurance services Service code 23 | 8403 COLESVILLE ROAD SILVER SPRING, MD 20910 | $285K |
| ASSOCIATED ADMINISTRATORS EIN 65-1205077 NONE | Plan Administrator Service code 14 | 911 RIDGEBROOK ROAD SPARKS, MD 21152 | $143K |
| INDEPENDENCE ADMNISTRATORS NONE | Contract Administrator Service code 13 | 1900 MARKET STREET PHILADELPHIA, PA 19103 | $126K |
| BATOFF ASSOCIATES PA NONE | Legal Service code 29 | 909 SAINT PAUL STREET BALTIMORE, MD 21202 | $36K |
| BOLTON PARTNERS INVESTMENT CONSULTI NONE | Actuarial Service code 11 | 1 W PENNSYLVANIA AVENUE STE 600 TOWSON, MD 21204 | $20K |
| IRA MARC MILLER AND CO PA NONE | Accounting (including auditing) Service code 10 | 1340 SMITH AVENUE SUITE 200 BALTIMORE, MD 21209 | $19K |
| PNC BANK NONE | Account maintenance fees Service code 65 | TOWER AT PNC PLAZA 300 FIFTH AVENUE PITTSBURGH, PA 15222 | $9K |
| YORK INSURANCE SERVICES NONE | Insurance services Service code 23 | 211 ROCKSPRING ROAD FOREST HILL, MD 21050 | $5K |
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 | 499 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 515 | 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.