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 |
|---|---|---|---|
| FUND DIRECT ADVISORS EIN 27-3584365 NONE | Direct payment from the plan; Participant communication; Investment advisory (plan) Service code 27 | — | $37K |
| STANLEY BENEFIT SERVICES EIN 20-4006400 NONE | Direct payment from the plan; Recordkeeping fees; Other fees; Sub-transfer agency fees; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Participant loan processing; Participant communication; Account maintenance fees; Consulting fees Service code 15 | — | $30K |
| TD AMERITRADE INC EIN 20-0937408 NONE | Trustee (directed); Trustee (bank, trust company, or similar financial institution); Custodial (other than securities); Direct payment from the plan; Custodial (securities); Other fees; Shareholder servicing fees Service code 18 | — | $22K |
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 | 309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 55 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 365 | 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.