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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF GEORGIA EIN 58-0469845 NONE | Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $1.2M |
| SIRIUS AMERICA INSURANCE COMPANY EIN 13-2997499 NONE | Contract Administrator Service code 13 | — | $844K |
| PARAGON BENEFITS, INC. EIN 58-1862304 NONE | Claims processing Service code 12 | — | $458K |
| BLUE CROSS BLUE SHIELD OF ALABAMA EIN 63-0103830 NONE | Claims processing Service code 12 | — | $263K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Contract Administrator Service code 13 | — | $74K |
| TELADOC EIN 04-3705970 NONE | Contract Administrator Service code 13 | — | $53K |
| HUGHSTON HEALTH EIN 58-1155460 NONE | Other fees Service code 99 | — | $39K |
| ROBINSON, GRIMES & CO., P.C. EIN 58-1374304 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| ERNST & YOUNG EIN 34-6565596 NONE | Accounting (including auditing) Service code 10 | — | $8K |
| COBBS ALLEN NONE | Other fees Service code 99 | 115 OFFICE PARK DRIVE SUITE 200 BIRMINGHAM, AL 35223 | $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 | 4,108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 37 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,145 | 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.