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 |
|---|---|---|---|
| HRSA-ILA FRINGE BENEFIT ESCROW FUND EIN 54-1218271 RELATED ORGANIZATION | Contract Administrator Service code 13 | — | $262K |
| BASYS, LLC EIN 52-1796473 NONE | Other services; Consulting (general) Service code 16 | — | $95K |
| DIVARS PROPERTY MANAGEMENT LLC EIN 54-1358030 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States); Real estate brokerage Service code 15 | — | $45K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $19K |
| WOODS ROGERS VANDEVENTER BLACK PLC EIN 54-1294386 NONE | Legal Service code 29 | — | $16K |
| WELLS FARGO BANK NA EIN 41-6257133 NONE | Consulting (general); Investment advisory (plan) Service code 16 | — | $11K |
| TOWNE INSURANCE EIN 31-1774380 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $10K |
| ALLEGRA EIN 26-1463824 NONE | Copying and duplicating Service code 36 | — | $9K |
| ELECTRONIC SYSTEMS, INC. EIN 54-1145980 NONE | Consulting (general) Service code 16 | — | $8K |
| OMNI BUSINESS SOLUTIONS EIN 81-3382556 NONE | Copying and duplicating Service code 36 | — | $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 | 1,769 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 126 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,895 | 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."
No prospect flags tripped on this filing.