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 |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 NONE | Contract Administrator Service code 13 | 9900 BREN ROAD E MINNETONKA, MN 55343 | $210K |
| SOUTHERN BENEFIT ADMINISTRATORS INC EIN 62-1116095 NONE | Contract Administrator Service code 13 | 2001 CALDWELL DRIVE GOODLETTSVILLE, TN 370723589 | $148K |
| HANNON & ASSOCIATES EIN 59-2892813 NONE | Accounting (including auditing) Service code 10 | 2700 UNIVERSITY BLVD W SUITE A-2 JACKSONVILLE, FL 32217 | $77K |
| LOOMIS SAYLES EIN 04-3200030 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | ONE FINANCIAL CENTER BOSTON, MA 02111 | $33K |
| WITHERS BENEFIT CONSULTANTS INC EIN 59-3309390 NONE | Consulting (general) Service code 16 | 12418 LAKE JOVITA BLVD DADE CITY, FL 33525 | $27K |
| VENABLE LAW FIRM PA EIN 59-1824867 NONE | Legal Service code 29 | 7402 N 56TH STREET SUITE 380 TAMPA, FL 33617 | $21K |
| ARNALL GOLDEN GREGORY LLP EIN 58-0543673 NONE | Legal Service code 29 | 171 177TH STREET NW SUITE 2100 ATLANTA, GA 30363 | $16K |
| HORIZON ACTUARIAL SERVICES LLC EIN 26-1370698 NONE | Actuarial Service code 11 | 900 ASHWOOD PARKWAY SUITE 170 ATLANTA, GA 30338 | $11K |
| MARCO CONSULTING GROUP INC EIN 36-3673844 NONE | Investment advisory (plan) Service code 27 | 550 W WASHINGTON BLVD SUITE 900 CHICAGO, IL 60661 | $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 | 725 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 228 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | 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.