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 |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Plan Administrator Service code 14 | 2450 SEVERN AVE. STE 305 METAIRIE, LA 70001 | $30K |
| THE SEGAL COMPANY EIN 13-2619259 NONE | Actuarial Service code 11 | 10740 N. GESSNER DR STE 320 HOUSTON, TX 770641240 | $19K |
| ROBEIN,URANN,SPENCER,PICARD & CANGE EIN 72-0999672 NONE | Legal Service code 29 | 2540 SEVERN AVE. STE 400 METAIRIE, LA 70002 | $8K |
| MULTIPLAN, INC. EIN 04-3138814 NONE | Plan Administrator Service code 14 | 1100 WINTER STREET WALTHAM, MA 02451 | $7K |
| AMERICAN HEALTH HOLDINGS EIN 31-1368946 NONE | Plan Administrator Service code 14 | 100 WEST OLD WILSON BRIDGE ROAD WORTHINGTON, OH 430856016 | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 101 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 15 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 116 | 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.