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 25-1696740 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | 3 GATEWAY CENTER 401 LIBERTY AVE. PITTSBURGH, PA 15222 | $353K |
| BARR AND CAMENS EIN 52-0971705 ATTORNEY | Insurance agents and brokers Service code 22 | — | $96K |
| CASCO CONSULTANTS EIN 13-3954297 ACTUARY | Consulting (pension) Service code 17 | — | $50K |
| WELLS FARGO EIN 52-1940739 INVESTMENT | Trustee (individual) Service code 20 | 550S. 4TH STREET MINNEAPOLIS, MN 55415 | $44K |
| CAREFIRST NETLEASE EIN 52-2129786 ADMINISTRATION | Contract Administrator Service code 13 | — | $38K |
| HALEY AND ASSOCIATES EIN 55-0810153 ACCOUNTANT | Accounting (including auditing) Service code 10 | 5000 SUNNYSIDE AVE BELTSVILLE, MD 20705 | $30K |
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 | 619 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 194 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 816 | 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.