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 |
|---|---|---|---|
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 NONE | Claims processing Service code 12 | 3150 US ROUTE 60 ONA, WV 25545 | $718K |
| ANTHEM HEALTH PLANS EIN 06-1475928 NONE | Other fees Service code 99 | 4361 IRWIN SIMPSON ROAD MASON, OH 45040 | $336K |
| AMERICAN HEALTH HOLDINGS NONE | Other fees Service code 99 | 7400 W CAMPUS RD F-510 NEW ALBANY, OH 43054 | $72K |
| HARRIS, HARDIN & COMPANY, A.C. EIN 55-0756523 NONE | Accounting (including auditing) Service code 10 | 404 9TH STREET HUNTINGTON, WV 25701 | $24K |
| CICCARELLO, DEL GIUDUCE & LAFON EIN 55-0711953 NONE | Insurance agents and brokers Service code 22 | 1219 VIRGINIA STREET E CHARLESTON, WV 25301 | $23K |
| MANNING & NAPIER EIN 16-0995736 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 655 METRO PLACE SOUTH DUBLIN, OH 43017 | $18K |
| THE BOGHDAN GROUP NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $8K |
| PHYSICIANS SERVICES (4MOST) EIN 26-1790538 NONE | Other fees Service code 99 | 323 CALL ROAD 2ND FLOOR SISSONVILLE, WV 25312 | $8K |
| MEDICAL REVIEW INSTITUTE EIN 87-0394756 NONE | Other fees Service code 99 | 2875 DECKER LANE DR SALTLAKECITY, UT 84119 | $4K |
| UNITED NATIONAL BANK EIN 55-0249860 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 500 VIRGINIA STREET, EAST CHARLESTON, WV 25301 | $872 |
| NETWORK MEDICAL REVIEW NONE | Other fees Service code 99 | — | $580 |
| ROLFE ENTERPRISES NONE | Other fees Service code 99 | — | $563 |
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 | 906 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 771 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,677 | 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.