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 |
|---|---|---|---|
| TIM MACKEY EIN 58-1847647 EMPLOYEE | Employee (plan) Service code 30 | 10 MERSEY WAY SAVANNAH, GA 31405 | $165K |
| HOLLAND, HENRY & BROMLEY, LLP EIN 58-1941470 ACCOUNTANT | Accounting (including auditing) Service code 10 | P O BOX 8878 SAVANNAH, GA 31412 | $50K |
| ADVANCED BUSINESS SOFTWARE EIN 58-1676348 IT CONSULTANT | Consulting fees Service code 70 | 49 PARK OF COMMERCE WAY SAVANNAH, GA 31405 | $47K |
| TJS DEEMER DANA LLP EIN 58-1788955 AUDITOR | Accounting (including auditing) Service code 10 | 118 PARK OF COMMERCE DR SAVANNAH, GA 31405 | $36K |
| BIGNAULT & CARTER EIN 58-1310322 ATTORNEY | Legal Service code 29 | 7505 WATERS AVE SAVANNAH, GA 31406 | $31K |
| ELLIS PAINTER RATTEREE & ADAMS, LLP EIN 58-1788955 ATTORNEY | Legal Service code 29 | 2 EAST BRYAN STREET SAVANNAH, GA 31401 | $3K |
| SUNTRUST BANK BANK | Trustee (bank, trust company, or similar financial institution) Service code 21 | 33 BULL STREET SAVANNAH, GA 31401 | $0 |
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 | 1,932 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,932 | 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."
No prospect flags tripped on this filing.