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, INC EIN 63-0969069 INVESTMENT ADVISOR | Investment advisory (plan); Investment management Service code 27 | — | $119K |
| THE WELCH GROUP EIN 63-1231262 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $53K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 INVESTMENT MANAGER | Investment management Service code 28 | — | $53K |
| PEARCE, BEVILL, LEESBURG, MOORE, PC EIN 63-0813240 PROFESSIONAL SERVICES | Accounting (including auditing) Service code 10 | — | $31K |
| MASSACHUSETTS MUTUAL LIFE INS. CO. EIN 04-1590850 CONTRACT ADMINISTRATOR | Sub-transfer agency fees; Recordkeeping fees; Other insurance wrap fees; Other investment fees and expenses; Investment management fees paid indirectly by plan; Soft dollars commissions; Distribution (12b-1) fees; Securities brokerage Service code 33 | — | $22K |
| HIGHTOWER ADVISORS LLC EIN 36-4500709 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $22K |
| MASSMUTUAL LIFE INSURANCE COMPANY EIN 04-1590850 RECORDKEEPER | Participant communication; Recordkeeping fees Service code 38 | — | $21K |
| HAYEK KALLEN INVESTMENT MANAGE EIN 63-1215730 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $16K |
| OGLETREE DEAKINS NASH SMOAK STEWART EIN 57-1044820 LEGAL | Legal Service code 29 | — | $8K |
| CHARLES SCHWAB & CO, INC. EIN 94-1737782 INVESTMENT SERVICE PROVID | Float revenue; Shareholder servicing fees; Securities brokerage commissions and fees Service code 59 | — | $6K |
| KINSIGHT LLC EIN 63-1280724 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $6K |
| AMERICAN BEACON EIN 75-2401150 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| AMERICAN FUNDS EIN 95-1411037 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| ARTISAN EIN 39-1811840 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| BLACKROCK EIN 51-0318674 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| CAUSEWAY EIN 95-4861680 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| COLUMBIA EIN 56-0906609 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| DIAMOND HILL EIN 31-6547095 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| DIMENSIONAL FUND ADVISORS EIN 22-2370029 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| FIDELITY INVESTMENTS EIN 04-6056833 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| FRANKLINTEMPLETON EIN 13-3151768 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| GOLDMAN SACHS EIN 13-5108880 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| HARBOR EIN 34-1953393 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| HARRIS EIN 04-3276558 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| INVESCO EIN 20-0414905 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| JP MORGAN EIN 33-1043149 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| MAINSTAY EIN 52-2206685 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| MANNING & NAPIER EIN 02-0476209 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| MFS INVESTMENT MANAGEMENT EIN 04-3158862 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| PIMCO FUNDS EIN 95-2632339 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| PIONEER EIN 03-0460956 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| T. ROWE PRICE EIN 56-2294396 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| TOUCHSTONE INVESTMENTS EIN 47-6046379 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| VANGUARD EIN 23-1945930 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| WELLS FARGO EIN 94-3255511 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| WILLIAM BLAIR EIN 36-2214610 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
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 | 385 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 124 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 519 | 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.