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 | 10 COMMERCE DRIVE CUMBERLAND, MD 21502 | $1.2M |
| UNION LABOR LIFE INSURANCE COMPANY INSURANCE PROVIDER | Insurance services Service code 23 | 1625 I ST NW WASHINGTON, DC 20006 | $347K |
| ISSI EIN 23-2182079 SOFTWARE SUPPORT | Other fees Service code 99 | TWO EXEC CAMPUS SUITE 400 CHERRY HILL, NY 08002 | $129K |
| 4MOST HEALTH HOLDINGS EIN 31-1538612 REPRICING | Other fees Service code 99 | PO BOX 741654 ATLANTA, GA 30384 | $99K |
| THE SEGAL COMPANY EIN 13-1835864 ACTUARY | Actuarial Service code 11 | 1920 N STREET NEW SUITE 400 WASHINGTON, DC 20036 | $97K |
| C.S. MCKEE EIN 25-1095051 INVESTMENT MANAGER | Investment management Service code 28 | ONE GATEWAY CENTER PITTSBURG, PA 15212 | $71K |
| NEW TOWER TRUST COMPANY INVESTMENT MANAGER | Investment management Service code 28 | 7315 WISCONSIN AVE, SUITE 350W BETHESDA, MD 20814 | $65K |
| TELADOC HEALTH, INC. VIRTUAL CARE | Consulting (general) Service code 16 | 2 MANHATTANVILLE ROAD PURCHASE, NY 10577 | $58K |
| PITNEY PURCHASE POWER EIN 06-0495050 POSTAGE | Other services Service code 49 | P.O. BOX 371896 PITTSBURG, PA 15250 | $56K |
| GRAY GRIFFITH & MAYS, A.C. EIN 55-0621482 AUDITOR | Accounting (including auditing) Service code 10 | 707 VIRGINIA ST. EAST, STE 400 CHARLESTON, WV 25301 | $53K |
| AMERICAN HEALTH CLAIMS PROCESSING | Claims processing Service code 12 | 233 N MICHIGAN AVE 21ST FLOOR CHICAGO, IL 60601 | $42K |
| JONES PRINTING PRINTING AND PUBLICATION | Copying and duplicating Service code 36 | PO BOX 6038 CHARLESTON, WV 25362 | $39K |
| MEYER UNKOVIC & SCOTT EIN 25-1008021 LEGAL SERVICES | Insurance agents and brokers Service code 22 | 1300 OLIVER STREET PITTSBURG, PA 15222 | $33K |
| HARRIS HARDIN & CO EIN 55-0756523 AUDITOR | Accounting (including auditing) Service code 10 | 404 NINTH STREET, SUITE 201 HUNTINGTON, WV 25723 | $32K |
| STANDARD VALUATIONS EIN 41-6206850 INVESTMENT VALUATION | Investment management Service code 28 | 790 CLEVELAND AVE. S, SUITE 220 ST. PAUL, MN 55116 | $21K |
| FICON INSURANCE PROVIDER | Insurance services Service code 23 | 701 VIRGINIA STREET WEST CHARLESTON, WV 25302 | $18K |
| STATE AUTO COMPANY EIN 31-4316080 INSURANCE PROVIDER | Custodial (securities) Service code 19 | P.O. BOX 182738 COLUMBUS, OH 43218 | $18K |
| TRAVELERS INSURANCE PROVIDER | Custodial (securities) Service code 19 | ONE TOWER SQUARE HARTFORD, CT 06183 | $15K |
| UNITED BANK EIN 55-6100340 CUSTODIAN | Custodial (other than securities) Service code 18 | 500 VIRGINIA STREET, EAST CHARLESTON, WV 25302 | $12K |
| FRONTIER COMMUNICATIONS TELEPHONE | Other services Service code 49 | 401 MERRITT 7 NORWALK, CT 06851 | $11K |
| TA REALTY INVESTMENT MANAGER | Investment management Service code 28 | 28 STATE STREET, 10TH FLOOR BOSTON, MA 02109 | $9K |
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 | 2,456 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 349 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,805 | 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.