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 |
|---|---|---|---|
| GREAT WEST LIFE & ANNUITY INSURANCE EIN 84-0468007 INVESTMENT SERVICE PROVID | Investment management fees paid indirectly by plan; Float revenue; Securities brokerage commissions and fees; Other services; Recordkeeping fees; Other investment fees and expenses; Soft dollars commissions; Sub-transfer agency fees Service code 49 | — | $188K |
| CAPFINANCIAL PARTNERS, LLC EIN 26-0058143 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | — | $60K |
| HIGHTOWER ADVISORS LLC EIN 36-4500709 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $47K |
| WA ASSET MANAGEMENT LLC EIN 63-1229657 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $28K |
| HAYEK KALLEN INVESTMENT MANAGE EIN 63-1215730 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $22K |
| PEARCE, BEVILL, LEESBURG, MOORE, PC EIN 63-0813240 AUDITOR | Accounting (including auditing) Service code 10 | — | $21K |
| RFG ADVISORY LLC EIN 45-2787436 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $21K |
| THE WELCH GROUP EIN 63-1231262 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $18K |
| PEARCE, BEVILL, LEESBURG, MOORE PC EIN 63-0813240 AUDITOR | Accounting (including auditing) Service code 10 | — | $11K |
| BHK INVESTMENT ADVISORS LLC EIN 20-2460078 INVESTMENT SERVICE PROVID | Securities brokerage commissions and fees Service code 71 | — | $10K |
| FISHERBROYERS LLP EIN 56-2332885 LEGAL | Legal Service code 29 | — | $9K |
| CHARLES SCHWAB & CO., INC. EIN 94-1737782 INVESTMENT SERVICE PROVID | Shareholder servicing fees; Securities brokerage commissions and fees Service code 59 | — | $1K |
| 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 |
| BLACKROCK EIN 51-0318674 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| DODGE & COX EIN 94-6067274 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 |
| MASSACHUSETTS MUTUAL LIFE INS. CO. EIN 04-1590850 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan; Other investment fees and expenses Service code 52 | — | $0 |
| MFS INVESTMENT MANAGEMENT EIN 04-3158862 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| T. ROWE PRICE EIN 65-1253987 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| VANGUARD EIN 23-1999755 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| WELLS FARGO GALLIARD EIN 02-0476209 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| WILMINGTON TRUST EIN 46-3787800 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 | 365 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 136 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 513 | 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.