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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $1.4M |
| PIPELINE INDUSTRY BENEFIT FUND EIN 73-0742835 EMPLOYEES OF THE PLAN | Direct payment from the plan; Employee (plan) Service code 30 | — | $695K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796472 NONE | Direct payment from the plan; Other services Service code 49 | — | $211K |
| EMPLOYEE B EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $123K |
| PITNEY BOWES GLOBAL FINANCIAL SERVI NONE | Other fees; Direct payment from the plan Service code 50 | PO BOX 223648 PITTSBURGH, PA 152502648 | $122K |
| EMPLOYEE A EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $118K |
| EMPLOYEE D EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $66K |
| EMPLOYEE I EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $64K |
| EMPLOYEE E EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $63K |
| EMPLOYEE G EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $61K |
| EMPLOYEE F EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $55K |
| EMPLOYEE H EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $55K |
| EMPLOYEE J EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $52K |
| EMPLOYEE K EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $50K |
| THE SEGAL COMPANY EIN 13-2619259 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $46K |
| DENTAL NETWORK OF AMERICA EIN 36-3339483 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $45K |
| EMPLOYEE M EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $44K |
| SIKITCH LLP EIN 36-3168081 NONE | Direct payment from the plan; Other services Service code 49 | — | $44K |
| PNC BANK NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 856177 LOUISVILLE, KY 402856177 | $41K |
| ROBEIN, URANN, SPENCER, ET AL EIN 73-0999672 NONE | Legal; Direct payment from the plan Service code 29 | — | $41K |
| EMPLOYEE C EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $38K |
| CARDIOPTICS SCREENING SERVICES NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 1972 JONESBORO, AR 72403 | $37K |
| RUBINBROWN LLP EIN 43-0765316 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $34K |
| AT&T MOBILITY NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 6463 CAROL STREAM, IL 601976463 | $33K |
| DATAMATION IMAGING SERVICES EIN 36-4303011 NONE | Direct payment from the plan; Other services Service code 49 | — | $30K |
| TRUSTED TECH TEAM NONE | Direct payment from the plan; Other services Service code 49 | 5171 CALIFORNIA AVENUE, SUITE 250 IRVINE, CA 92617 | $29K |
| EMPLOYEE V EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $28K |
| COX COMMUNICATIONS - TULSA NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 248876 OKLAHOMA CITY, OK 731248876 | $28K |
| EMPLOYEE L EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $27K |
| DECISION TREE CONSULTING, LLC NONE | Other services; Direct payment from the plan Service code 49 | 2250 E 73RD ST, STE 430 TULSA, OK 74136 | $27K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $25K |
| AT&T OKLAHOMA NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 5001 CAROL STREAM, IL 601975001 | $24K |
| BOLTON PARTNERS NONE | Other services; Direct payment from the plan Service code 49 | 1 WEST PENNSYLVANIA AVE STE 600 TOWSON, MD 21204 | $24K |
| SODER MECHANICAL, INC NONE | Other services; Direct payment from the plan Service code 49 | 9526 EAST 54TH ST TULSA, OK 74145 | $19K |
| HARDESTY PRESS NONE | Other services; Direct payment from the plan Service code 49 | 1317 EAST 11TH STREET TULSA, OK 74120 | $18K |
| NEWWAVE SOLUTIONS NONE | Direct payment from the plan; Other services Service code 49 | 2405 E SKELLY DR TULSA, OK 74105 | $17K |
| NICK HONDROS NONE | Direct payment from the plan; Other services Service code 49 | 9810 EAST 83RD PLACE TULSA, OK 74133 | $17K |
| WESTERN PRINTING NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 701438 TULSA, OK 74170 | $15K |
| SYSTEM ONE HOLDINGS, LLC NONE | Other services; Direct payment from the plan Service code 49 | 3851 S 103RD AVE TULSA, OK 74146 | $15K |
| ADMIRAL EXPRESS NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 470650 TULSA, OK 741470650 | $14K |
| SAVATREE NONE | Other services; Direct payment from the plan Service code 49 | 29885 NETWORK PLACE CHICAGO, IL 60673 | $13K |
| A&S FINANCIAL SERVICES LLC EIN 27-4188863 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $12K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $9K |
| KUDELSKI SECURITY, INC. EIN 41-1961338 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| FIRST LIGHT OF TULSA EIN 77-0559191 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| CHUBB NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 82 HOPEMEADOW STREET SIMSBURY, CT 060707383 | $6K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $5K |
| RENAISSANCE TULSA HOTEL NONE | Other services Service code 49 | 6808 SOUTH 107TH EAST AVENUE TULSA, OK 74133 | $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 | 1,865 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 894 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,759 | 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.