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 |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Contract Administrator Service code 13 | 2250 SOUTH RANCHO BLVD STE 295 LAS VEGAS, NV 89102 | $119K |
| RUBINBROWN LLP EIN 43-0765316 NONE | Accounting (including auditing) Service code 10 | 10801 W. CHARLESTON BLVD, SUITE 300 LAS VEGAS, NV 89135 | $37K |
| NOVARA TESIJA CANTENACCI, PLLC EIN 38-3763096 NONE | Legal Service code 29 | 888 W. BIG BEAVER, STE 870 TROY, MI 48084 | $13K |
| VERUS ADVISORY, INC EIN 91-1320111 NONE | Investment advisory (plan); Investment management fees paid directly by plan; Consulting (pension) Service code 17 | 800 FIFTH AVENUE, STE. 3900 SEATTLE, WA 98104 | $9K |
| CHEIRON, INC. EIN 13-4215617 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | 8300 GREENSBORO DRIVE, SUITE 800 MCLEAN, VA 22102 | $8K |
| BMO BANK NATIONAL ASSOCIATION EIN 36-2085229 NONE | Custodial (other than securities) Service code 18 | 320 S. CANAL STREET CHICAGO, IL 60606 | $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 | 734 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 259 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 45 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,038 | 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.