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 CO EIN 36-2739571 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $249K |
| SOUTHERN BENEFIT ADMINISTRATOR INC EIN 62-1116095 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $175K |
| LOOMIS SAYLES & COMPANY LP EIN 04-3200030 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $47K |
| LAPADULA CARLSON & CO EIN 65-0292391 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| HORIZON ACTUARIAL SERVICES LLC EIN 26-1370698 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $12K |
| VENABLE LAW FIRM PA EIN 59-1824867 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| SEGAL MACRO ADVISORS EIN 12-2646110 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $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 | 783 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 287 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,070 | 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.