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 |
|---|---|---|---|
| CAREFIRST EIN 55-0078070 CLAIMS PROCESSING | Claims processing Service code 12 | — | $16.9M |
| AIG INSURANCE PROVIDER | Insurance services Service code 23 | 7400 WEST CAMPUS ROAD, F-150 NEW ALBANY, OH 43054 | $268K |
| ISSI EIN 23-2182079 SOFTWARE SUPPORT | Other fees Service code 99 | TWO EXEC CAMPUS SUITE 400 CHERRY HILL, NY 08002 | $81K |
| PURCHASE POWER EIN 06-0495050 POSTAGE | Other services Service code 49 | P.O. BOX 371896 PITTSBURG, PA 15250 | $71K |
| THE SEGAL COMPANY EIN 13-1835864 ACTUARY | Actuarial Service code 11 | 1920 N STREET NEW SUITE 400 WASHINGTON, DC 20036 | $70K |
| C.S. MCKEE EIN 25-1095051 INVESTMENT MANAGER | Investment management Service code 28 | ONE GATEWAY CENTER PITTSBURG, PA 15212 | $63K |
| JONES PRINTING PRINTING AND PUBLICATION | Copying and duplicating Service code 36 | PO BOX 6038 CHARLESTON, WV 25362 | $54K |
| AMERICAN HEALTH CLAIMS PROCESSING | Claims processing Service code 12 | — | $47K |
| 4MOST HEALTH HOLDINGS EIN 31-1538612 REPRICING | Other fees Service code 99 | PO BOX 741654 ATLANTA, GA 30384 | $41K |
| GRAY GRIFFITH & MAYS, A.C. EIN 55-0621482 AUDITOR | Accounting (including auditing) Service code 10 | 707 VIRGINIA ST. EAST, STE 400 CHARLESTON, WV 25301 | $39K |
| ADVANCED MANAGEMENT CLAIMS PROCESSING | Claims processing Service code 12 | 1416 ROBINHOOD ROAD CHARLESTON, WV 25314 | $29K |
| MEYER UNKOVIC & SCOTT EIN 25-1008021 LEGAL SERVICES | Insurance agents and brokers Service code 22 | 1300 OLIVER STREET PITTSBURGH, PA 15222 | $26K |
| BASYS EIN 52-1796473 SOFTWARE SUPPORT | Other fees Service code 99 | 857 ELKRIDGE LANDING ROAD LINTHICUM, MD 21090 | $21K |
| STANDARD VALUATIONS EIN 41-6206850 INVESTMENT VALUATION | Investment management Service code 28 | 790 CLEVELAND AVE. S, SUITE 220 ST. PAUL, MN 55116 | $19K |
| STATE AUTO COMPANY EIN 31-4316080 INSURANCE PROVIDER | Custodial (securities) Service code 19 | P.O. BOX 182738 COLUMBUS, OH 43218 | $19K |
| FICON INSURANCE PROVIDER | Insurance services Service code 23 | 701 VIRGINIA STREET WEST, CHARLESTON, WV 25302 | $18K |
| ENGLE MANGEMENT TRANSPORTATION SERVICES | Other services Service code 49 | RR1 BOX 328D LESAGE, WV 25537 | $17K |
| SMITH COCHRAN & HICKS EIN 55-0697264 ACCOUNTANT | Accounting (including auditing) Service code 10 | 3510 MACCORKLE AVE. SE CHARLESTON, WV 25304 | $13K |
| TRAVELERS IMSURANCE PROVIDER | Custodial (securities) Service code 19 | ONE TOWER SQUARE HARTFORD, CT 06183 | $10K |
| RAYNES AND SONS EXCAVATION SERVICES | Other services Service code 49 | WV-62 ELANOR, WV 25070 | $8K |
| CHAPMAN PRINTING EIN 55-0717455 OFFICE SUPPLIES | Other services Service code 49 | P.O. BOX 2867 HUNTINGTON, WV 25728 | $7K |
| STATE STREET GLOBAL ADVISORS EIN 04-0025081 INVESTMENT MANAGER | Investment management Service code 28 | BOX 5488 BOSTON, MA 02206 | $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 | 1,993 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 302 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,295 | 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.