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; Direct payment from the plan; Claims processing Service code 12 | — | $1.3M |
| PIPELINE INDUSTRY BENEFIT FUND EIN 73-0742835 EMPLOYEES OF THE PLAN | Employee (plan); Direct payment from the plan Service code 30 | — | $179K |
| EMPLOYEE B EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $118K |
| EMPLOYEE A EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $115K |
| PITNEY BOWES GLOBAL FINANCIAL SERVI NONE | Other fees; Direct payment from the plan Service code 50 | PO BOX 223648 PITTSBURGH, PA 152502648 | $97K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796472 NONE | Direct payment from the plan; Other services Service code 49 | — | $93K |
| DENTAL NETWORK OF AMERICA EIN 36-3339483 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $83K |
| INNOVATIVE SOFTWARE SOLUTIONS EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $68K |
| EMPLOYEE C EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $66K |
| PNC BANK NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 856177 LOUISVILLE, KY 402856177 | $65K |
| EMPLOYEE D EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $63K |
| EMPLOYEE E EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $59K |
| EMPLOYEE I EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $58K |
| EMPLOYEE G EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $54K |
| EMPLOYEE H EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $52K |
| EMPLOYEE F EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $52K |
| EMPLOYEE J EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $50K |
| EMPLOYEE L EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $48K |
| EMPLOYEE K EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $47K |
| ROBEIN, URANN, SPENCER, ET AL EIN 73-0999672 NONE | Legal; Direct payment from the plan Service code 29 | — | $41K |
| EMPLOYEE M EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $40K |
| A&S FINANCIAL SERVICES LLC EIN 27-4188863 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $40K |
| RUBINBROWN LLP EIN 43-0765316 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| EMPLOYEE N EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $32K |
| AT&T MOBILITY NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 6463 CAROL STREAM, IL 601976463 | $31K |
| TRUSTED TECH TEAM NONE | Direct payment from the plan; Other services Service code 49 | 5171 CALIFORNIA AVENUE, SUITE 250 IRVINE, CA 92617 | $30K |
| COX COMMUNICATIONS - TULSA NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 248876 OKLAHOMA CITY, OK 731248876 | $28K |
| EMPLOYEE P EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | PO BOX 470950 TULSA, OK 741470950 | $27K |
| HARDESTY PRESS NONE | Other services; Direct payment from the plan Service code 49 | 1317 EAST 11TH STREET TULSA, OK 74120 | $25K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $23K |
| DATAMATION IMAGING SERVICES EIN 36-4303011 NONE | Direct payment from the plan; Other services Service code 49 | — | $22K |
| GEORGE A. JONAS, CPA EIN 20-2565263 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $19K |
| ADMIRAL EXPRESS NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 470650 TULSA, OK 741470650 | $17K |
| SODER MECHANICAL, INC NONE | Direct payment from the plan; Other services Service code 49 | 9526 EAST 54TH ST TULSA, OK 74145 | $16K |
| NICK HONDROS NONE | Other services; Direct payment from the plan Service code 49 | 9810 EAST 83RD PLACE TULSA, OK 74133 | $15K |
| AT&T OKLAHOMA NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 5001 CAROL STREAM, IL 601975001 | $13K |
| THE SEGAL COMPANY EIN 13-2619259 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $11K |
| SIKITCH LLP EIN 36-3168081 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| CHANGE HEALTHCARE SOLUTIONS, LLC NONE | Claims processing; Direct payment from the plan Service code 12 | 3055 LEBANON PIKE NASHVILLE, TN 37214 | $7K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $7K |
| KUDELSKI SECURITY, INC. EIN 41-1961338 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| CARDIOPTICS SCREENING SERVICES NONE | Other services Service code 49 | PO BOX 1972 JONESBORO, AR 72403 | $0 |
| 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 | 2,145 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 897 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,042 | 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.