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 |
|---|---|---|---|
| WELCH, HORNSBY & WELCH, INC. EIN 63-0969069 INVESTMENT ADVISOR | Investment advisory (plan); Investment management Service code 27 | — | $90K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 INVESTMENT MGR | Investment management Service code 28 | — | $69K |
| THE WELCH GROUP EIN 63-1231262 INVESTMENT ADVISOR | Securities brokerage commissions and fees; Investment advisory (participants) Service code 26 | — | $48K |
| PEARCE, BEVILL, LEESBURG, EIN 63-0813240 AUDITOR | Accounting (including auditing) Service code 10 | — | $25K |
| MASSACHUSETTS MUTUAL LIFE INS. CO. EIN 04-1590850 CONTRACT ADMINISTRATOR | Distribution (12b-1) fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Investment management fees paid indirectly by plan; Plan Administrator; Recordkeeping fees; Sub-transfer agency fees; Other investment fees and expenses; Other services; Participant communication Service code 14 | — | $21K |
| KINSIGHT LLC EIN 63-1280724 INVESTMENT ADVISOR | Securities brokerage commissions and fees; Investment advisory (participants) Service code 26 | — | $20K |
| BALCH & BINGHAM LLP EIN 63-0328165 PLAN SPONSOR | Accounting (including auditing) Service code 10 | — | $20K |
| WELCH HORNSBY & WELCH, INC. EIN 63-0969069 INVESTMENT ADVISORS | Investment management Service code 28 | — | $16K |
| WELCH HORNSBY & WELCH, INC EIN 63-0969069 INVESTMENT ADVISORS | Investment advisory (plan) Service code 27 | — | $13K |
| HAYEK KALLEN INVESTMENT MANAGEMENT EIN 63-1215730 INVESTMENT ADVISOR | Investment advisory (participants); Securities brokerage commissions and fees Service code 26 | — | $12K |
| BRIDGEWORTH LLC EIN 26-3162378 INVESTMENT ADVISOR | Investment advisory (participants); Securities brokerage commissions and fees Service code 26 | — | $7K |
| MASSMUTUAL EIN 04-1590850 RECORDKEEPER | Participant communication; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $5K |
| CHARLES SCHWAB & CO, INC. EIN 94-1737782 SERVICE PROVIDER | Shareholder servicing fees; Account maintenance fees Service code 59 | — | $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 | 420 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 114 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 539 | 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.