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 |
|---|---|---|---|
| HEALTH SMART BENEFIT SOLUTIONS EIN 36-4099199 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $12.8M |
| KEYSTONE PEER REVIEW ORGANIZATION EIN 23-2348176 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $8.3M |
| 1974 PENSION TRUST EIN 52-6150908 EMPLOYER | Legal; Direct payment from the plan; Accounting (including auditing); Other services; Investment management Service code 10 | — | $5.6M |
| ACENTRA EIN 23-2348176 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $765K |
| MARSH USA, INC EIN 36-1436000 NONE | Insurance agents and brokers Service code 22 | — | $403K |
| PRICEWATERHOUSE COOPERS EIN 13-5326270 NONE | Consulting fees; Consulting (general) Service code 16 | — | $289K |
| INTERIM HEALTHCARE EIN 47-0947907 NONE | Consulting (general); Consulting fees Service code 16 | — | $287K |
| BIG SANDY AREA DEVELOPMENT EIN 61-0671002 NONE | Consulting (general) Service code 16 | — | $226K |
| WITHUMSMITH+BROWN EIN 22-2027092 NONE | Accounting (including auditing) Service code 10 | — | $189K |
| MORGAN, LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal Service code 29 | — | $178K |
| SHAWNEE HEALTH SERVICE EIN 37-0966854 NONE | Consulting (general) Service code 16 | — | $160K |
| POWERS, PYLES, SUTTER, & VERVILLE EIN 52-1620214 NONE | Legal Service code 29 | — | $146K |
| PENSION BENEFIT INFORMATION EIN 94-2856521 NONE | Consulting (general) Service code 16 | — | $142K |
| INSIGHT DIRECT USA EIN 36-3948996 NONE | Other services Service code 49 | — | $128K |
| VERIZON EIN 47-0751768 NONE | Other services Service code 49 | — | $118K |
| MICROSOFT CORPORATION EIN 91-1144442 NONE | Other services Service code 49 | — | $111K |
| FENG, WAN-TANG NONE | Consulting fees; Consulting (general) Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $93K |
| MERCER HEALTH & BENEFITS EIN 13-2834414 NONE | Consulting fees; Consulting (general) Service code 16 | — | $88K |
| COMMUNITY NURSING SERVICE EIN 74-2534122 NONE | Consulting (general); Consulting fees Service code 16 | — | $81K |
| MOONEY GREEN SAINDON EIN 52-1182494 NONE | Legal Service code 29 | — | $72K |
| CCRC ACTUARIES, LLC EIN 52-2261050 NONE | Actuarial Service code 11 | — | $67K |
| ARTHUR DIAMOND, INC EIN 52-0937528 NONE | Consulting (general); Consulting fees Service code 16 | — | $52K |
| TRUSTEE STAFF EIN 52-1888497 UMWA FUND EMPLOYEES | Trustee (individual); Direct payment from the plan Service code 20 | — | $52K |
| HEALTHCARE MANAGEMENT EIN 20-2408500 NONE | Consulting (general) Service code 16 | — | $50K |
| RONCOLI, GUILLERMO NONE | Consulting (general); Consulting fees Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $47K |
| YANG, WEI-CHIEN NONE | Consulting (general); Consulting fees Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $46K |
| KELLY PRESS INC EIN 52-0975591 NONE | Other services; Copying and duplicating Service code 36 | — | $46K |
| BULBIN, YURY NONE | Consulting fees; Consulting (general) Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $41K |
| MILLIMAN INC EIN 91-0675641 NONE | Actuarial Service code 11 | — | $40K |
| CHUBB & SON EIN 13-1963496 NONE | Insurance agents and brokers Service code 22 | — | $34K |
| RAPID7 LLC EIN 74-3111935 NONE | Other services Service code 49 | — | $32K |
| NORTHERN TRUST COMPANY EIN 36-1561860 NONE | Custodial (securities); Account maintenance fees; Other fees Service code 19 | — | $30K |
| JAMES, GREGORY A. NONE | Consulting (general); Consulting fees Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $29K |
| SEGAL GROUP INC, THE EIN 13-1835864 NONE | Consulting (general); Consulting fees Service code 16 | — | $29K |
| MOBILE MENTOR INC EIN 36-4865064 NONE | Other services Service code 49 | — | $25K |
| FINCH, GLENDA S NONE | Consulting fees; Consulting (general) Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $23K |
| BACKSTOP SOLUTIONS GROUP, LLC EIN 20-0199997 NONE | Other services Service code 49 | — | $22K |
| SCHNEIDER DOWNS & CO, INC EIN 25-1408703 NONE | Consulting fees; Consulting (general) Service code 16 | — | $20K |
| INTEGRAL CONSULTING SERVICES INC EIN 52-2081090 NONE | Consulting fees; Consulting (general) Service code 16 | — | $17K |
| UNITED ACTUARIAL SERVICE EIN 35-2156428 NONE | Actuarial Service code 11 | — | $16K |
| SOVOS COMPLIANCE LLC EIN 46-1379693 NONE | Other services Service code 49 | — | $16K |
| UNITED PARCEL SERVICE EIN 58-2480149 NONE | Other services Service code 49 | — | $15K |
| RELX INC. DBA LEXIS EIN 52-1471842 NONE | Other services Service code 49 | — | $14K |
| JONES, NANCY C. NONE | Consulting (general); Consulting fees Service code 16 | 2121 K STREET NW SUITE 350 WASHINGTON, DC 200371801 | $14K |
| AUTOMON, LLC EIN 26-2521148 NONE | Other services Service code 49 | — | $13K |
| ASCENTIS EIN 91-1630801 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | — | $12K |
| AUDITBOARD,INC EIN 47-1299245 NONE | Other services Service code 49 | — | $12K |
| SYNTELLIS PERFORMANCE EIN 85-1377808 NONE | Other services Service code 49 | — | $12K |
| NMS IMAGING INC EIN 52-0913097 NONE | Other services Service code 49 | — | $12K |
| AT&T MOBILITY EIN 84-1659970 NONE | Other services Service code 49 | — | $11K |
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 | 2,135 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17,391 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 19,526 | 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.