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 |
|---|---|---|---|
| CIGNA EIN 62-1218053 | Contract Administrator Service code 13 | PO BOX 644546 PITTSBURGH, PA 152644546 | $1.0M |
| VIRGIN PULSE EIN 20-2547480 | Other services Service code 49 | PO BOX 123310 DALLAS, TX 753123310 | $83K |
| CERIDIAN CORPORATION EIN 41-1981625 | Contract Administrator Service code 13 | 3311 EAST OLD SHAKOPEE ROAD BLOOMINGTON, MN 55425 | $65K |
| THE ULTIMATE SOFTWARE GROUP, INC. EIN 65-0694077 | Contract Administrator Service code 13 | 1485 NORTH PARK DRIVE WESTON, FL 33326 | $53K |
| TOTAL ADMINISTRATIVE SERVICES EIN 39-1561025 | Accounting (including auditing) Service code 10 | PO BOX 88278 MILWAUKEE, WI 532880001 | $36K |
| MAYER HOFFMAN MCCANN EIN 43-1947695 | Accounting (including auditing) Service code 10 | 5100 POPLAR AVENUE 30TH FLOOR MEMPHIS, TN 38137 | $32K |
| MERCER HR CONSULTING EIN 13-2834414 | Actuarial Service code 11 | PO BOX 905234 CHARLOTTE, NC 282905234 | $29K |
| FIRST TENNESSEE NATIONAL BANK ASSOC EIN 62-0201385 PLAN SPONSOR | Trustee (discretionary) Service code 24 | PO BOX 84 MEMPHIS, TN 38101 | $25K |
| METHODIST MINOR MEDICAL EIN 62-1518342 | Other services Service code 49 | 8071 WINCHESTER ROAD SUITE 3 MEMPHIS, TN 38125 | $16K |
| EVERGREEN RE EIN 59-2926768 | Insurance services Service code 23 | SIX CONCOURSE PARKWAY SUITE 2300 ATLANTA, GA 30328 | $11K |
| MEMPHIS BUSINESS GROUP ON HEALTH EIN 62-1241760 | Contract Administrator Service code 13 | 5050 POPLAR AVENUE 509 MEMPHIS, TN 381570509 | $10K |
| BAKER, DONELSON, BEARMAN, CALDWELL EIN 62-1047356 | Legal Service code 29 | 165 MADISON AVENUE MEMPHIS, TN 38103 | $8K |
| AON HEWITT INVESTMENT CONSULTING EIN 36-3109431 | Consulting (general) Service code 16 | 39584 TREASURY CENTER CHICAGO, IL 606949500 | $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 | 3,244 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,246 | 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.