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 |
|---|---|---|---|
| EMPLOYEE A EIN 58-2308503 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $151K |
| EMPLOYEE C EIN 58-2308503 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $122K |
| EMPLOYEE B EIN 58-2308503 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $116K |
| CARR RIGGS & INGRAM, LLC EIN 72-1396621 ACCOUNTANT | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $69K |
| SAGEVIEW ADVISORY GROUP EIN 33-0818667 ADVISOR | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $48K |
| FERENCZY BENEFTIS LAW CENTER LLP EIN 45-4623632 LEGAL COUNSEL | Legal; Direct payment from the plan Service code 29 | — | $46K |
| EMPLOYEE F EIN 58-2308503 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| JUDE VICK CONSULTING EIN 58-2308503 CONSULTING | Consulting (general); Direct payment from the plan Service code 16 | — | $36K |
| CLAIMVANTAGE, INC. EIN 30-0369631 CLAIMS PROCESSING | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $22K |
| RELIANCE TRUST COMPANY EIN 58-1428634 TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | — | $19K |
| EMPLOYEE D EIN 58-2308503 EMPLOYEE | Actuarial; Direct payment from the plan Service code 11 | — | $14K |
| TRUSTEE A EIN 58-2308503 BOARD OF TRUSTEES | Direct payment from the plan; Trustee (individual) Service code 20 | — | $14K |
| DAVIES ACTUARIAL, AUDIT & CONSULTIN EIN 58-2512336 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | — | $13K |
| TRUSTEE B EIN 58-2308503 BOARD OF TRUSTEES | Direct payment from the plan; Trustee (individual) Service code 20 | — | $11K |
| TRUSTEE C EIN 58-2308503 BOARD OF TRUSTEES | Direct payment from the plan; Trustee (individual) Service code 20 | — | $8K |
| TRUSTEE D EIN 58-2308503 BOARD OF TRUSTEES | Direct payment from the plan; Trustee (individual) Service code 20 | — | $5K |
| MOORE INGRAM JOHNSON & STEELE LLP EIN 58-2308503 LEGAL COUNSEL | Legal; Direct payment from the plan Service code 29 | — | $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 | 17,032 | 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) | 17,032 | 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.