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 |
|---|---|---|---|
| EFRAIN SOTO EIN 66-0254909 EMPLOYEE | Contract Administrator Service code 13 | 352 CALLE DEL PARQUE SUITE 202 SAN JUAN, PR 00912 | $57K |
| VICTOR ORTEGA EIN 66-0254909 EMPLOYEE | Contract Administrator Service code 13 | 352 CALLE DEL PARQUE SUITE 202 SAN JUAN, PR 009123744 | $37K |
| AIDA L. ORTIZ EIN 66-0254909 EMPLOYEE | Contract Administrator Service code 13 | 352 CALLE DEL PARQUE SUITE 202 SAN JUAN, PR 009123744 | $33K |
| YOLANDA LANDRAU EIN 66-0254909 EMPLOYEE | Contract Administrator Service code 13 | 352 CALLE DEL PARQUE SUITE 202 SAN JUAN, PR 009123744 | $31K |
| JOSE E. CARRERAS EIN 58-4109164 NONE | Insurance agents and brokers Service code 22 | 352 CALLE DEL PARQUE MAIN FLOOR SAN JUAN, PR 009123744 | $27K |
| MARYCELIS TORRENS EIN 66-0254909 EMPLOYEE | Contract Administrator Service code 13 | 352 CALLE DEL PARQUE SUITE 202 SAN JUAN, PR 009123744 | $25K |
| ROSA M. VELEZ EIN 66-0254909 EMPLOYEE | Contract Administrator Service code 13 | 352 CALLE DEL PARQUE SUITE 202 SAN JUAN, PR 009123744 | $22K |
| MANUEL R. MARTINEZ EIN 58-1634904 NONE | Accounting (including auditing) Service code 10 | PO BOX 193653 SAN JUAN, PR 009193653 | $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 | 1,647 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,647 | 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.