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 |
|---|---|---|---|
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $294K |
| INTERNATIONAL BROTHERHOOD TEAMSTERS EIN 53-0215427 RELATED PARTY | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $292K |
| CATHY HAYES EIN 53-0215427 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $117K |
| PRUDENTIAL INSURANCE CO OF AMERICA EIN 22-1211670 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $115K |
| JPMORGAN CHASE BANK, NATIONAL ASSOC EIN 13-4994650 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $99K |
| PAT COLE EIN 53-0215427 EMPLOYEE | Recordkeeping fees; Employee (plan) Service code 30 | — | $65K |
| ALAN D. BILLER & ASSOCIATES, INC. EIN 94-2854958 NONE | Investment management; Direct payment from the plan Service code 28 | — | $43K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $41K |
| AMALGAMATED BANK OF NY EIN 13-4920330 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| PANAGORA EIN 04-3063840 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Investment management Service code 28 | — | $12K |
| JOHN D. WARD NONE | Legal; Direct payment from the plan Service code 29 | 2201 N ST. N.W. SUITE 117 WASHINGTON, DC 20037 | $6K |
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 | 278 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 77 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 140 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 15 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 510 | 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.