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 |
|---|---|---|---|
| ANTHEM BLUE CROSS AND BLUE SHIELD EIN 58-0469845 NONE | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Contract Administrator; Direct payment from the plan Service code 12 | — | $3.4M |
| BASYS EIN 52-1796473 NONE | Other services; Direct payment from the plan Service code 49 | — | $353K |
| CAREMARK EIN 75-2882129 NONE | Other services; Other fees Service code 49 | — | $259K |
| HOWARD, MOORE, & MCDUFFIE, P.C. EIN 58-1484212 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $124K |
| KATHY HEERY ADMINISTRATOR, EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $104K |
| CASCO CONSULTANTS EIN 54-1788195 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $88K |
| LANA HICKOX ASST ADMIN, EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Insurance services Service code 23 | — | $67K |
| ROBERT DONLON ACCOUNTANT, EMPLOYEE | Other services; Direct payment from the plan Service code 49 | — | $63K |
| SEIX INVESTMENT ADVISORS EIN 95-4191764 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $55K |
| LINDSEY BANCROFT EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| SPEAR WILDERMAN, PC EIN 23-2749511 NONE | Direct payment from the plan; Legal Service code 29 | — | $53K |
| PATRICIA LEE EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $52K |
| MICHELLE LEOPOLD EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $52K |
| CHRISTOPHER HEERY EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| SHERRY DURDEN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| STEPHANIE SABA EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| LINDA ZITTRAUER EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $46K |
| INFINITY EIN 58-2437388 NONE | Other services Service code 49 | — | $46K |
| PERLA A HERNANDEZ EMPLOYEE | Other services; Direct payment from the plan Service code 49 | — | $40K |
| KENNETH BUS EMPLOYEE | Direct payment from the plan; Other services Service code 49 | — | $37K |
| INVESCO ADVISERS, INC. EIN 58-1707262 NONE | Investment management fees paid indirectly by plan; Product termination fees (surrender charges, etc.) Service code 52 | — | $29K |
| ITPEU PENSION FUND EIN 11-2506736 RELATED PENSION FUND | Other services Service code 49 | — | $28K |
| QUAN VEST CONSULTING EIN 11-2559669 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $27K |
| BUCHBINDER, TUNICK & CO, LLP EIN 13-1578842 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| SUNTRUST BANK EIN 58-1575035 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $22K |
| FAIR HEALTH INC EIN 90-0524293 NONE | Other fees; Other services Service code 49 | — | $15K |
| THE HARTFORD EIN 58-1575035 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $7K |
| HARGRAY DATA CENTER & MANAGEMENT EIN 13-1963496 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| SHERRILL & COMPANY NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $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 | 6,646 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 23 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,669 | 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.