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 |
|---|---|---|---|
| WAYNE RICHARDSON EIN 58-6153337 CONTAINER INSPECTOR | Direct payment from the plan; Employee (plan) Service code 30 | — | $165K |
| EMPLOYERS-ILA NC PORTS WELFARE PLAN EIN 58-2126333 AFFILIATED SERVICE FUND | Direct payment from the plan; Consulting (general); Accounting (including auditing); Claims processing; Contract Administrator; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Other services Service code 10 | PO BOX 1116 WILLMINGTON, NC 284021116 | $131K |
| SYMPHONA LLP EIN 58-2663273 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 118 PARK OF COMMERCE DRIVE SAVANNAH, GA 31405 | $17K |
| EVEREST NATIONAL INSURANCE COMPANY EIN 22-2660372 INSURANCE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 477 MARTINSVILLE RD LIBERTY CORNER, NJ 07938 | $7K |
| MURCHISON, TAYLOR & GIBSON, PLLC LEGAL COUNSEL | Legal; Direct payment from the plan Service code 29 | 1979 EASTWOOD ROAD, SUITE 101 WILMINGTON, NC 28403 | $6K |
| ART GORMAN IT VENDOR | Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 501 HIGHLAND DRIVE LAKE WALES, FL 33898 | $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 | 300 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 300 | 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.