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 |
|---|---|---|---|
| RENY COMPANY EIN 75-2641754 MEDICAL BILL PROCESSING | Claims processing Service code 12 | 6525 PRESTON RD. PLANO, TX 75024 | $180K |
| FEE SMITH SHARP AND VITULLO EIN 68-0502076 LEGAL | Legal Service code 29 | 13155 NOEL RD SUITE 1000 DALLAS, TX 75240 | $170K |
| OCCMED GROUP PA EIN 75-2893870 MEDICAL PROVIDER | Other services Service code 49 | 8115 PRESTON RD. LB41 DALLAS, TX 75225 | $134K |
| OCCUPATIONAL HEALTHCARE CENTERS EIN 75-2014828 MEDICAL PROVIDER | Other services Service code 49 | 5080SPECTRUM DRIVE #1200W ADDISON, TX 75001 | $96K |
| FORT WORTH OCCMED PARTNERS EIN 20-1788445 MEDICAL PROVIDER | Other services Service code 49 | POB 12089 FORT WORTH, TX 76110 | $91K |
| TEXAS INSURANCE CLAIMS SERVICE EIN 75-1737178 VALUATION SERVICES | Valuation (appraisals, etc.) Service code 34 | POB 832408 RICHARDSON, TX 75083 | $66K |
| MIDLANDS CLAIM ADMINISTRATORS INC. EIN 73-1446969 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | POB 23198 OKLAHOMA CITY, OK 73123 | $49K |
| PHELPS DUNBAR LLP EIN 72-0358621 LEGAL | Legal Service code 29 | POB 974798 DALLAS, TX 75397 | $23K |
| TEXAS MEDCLINIC EIN 47-5349604 MEDICAL PROVIDER | Other services Service code 49 | 13722 EMBASSY ROW SAN ANTONIO, TX 78216 | $21K |
| NOVA HEALTHCARE CENTERS EIN 84-2131917 MEDICAL PROVIDER | Other services Service code 49 | POB 840066 DALLAS, TX 75284 | $9K |
| CARENOW EIN 75-2473418 MEDICAL PROVIDER | Other services Service code 49 | POB 9101 COPPELL, TX 75019 | $7K |
| VALLEY DAY & NIGHT CLINIC EIN 74-2581554 MEDICAL PROVIDER | Other services Service code 49 | 3302 BOCA CHICA BLVD. BROWNSVILLE, TX 78521 | $6K |
| CHRISTUS HOPKINS HEALTHCARE ALLIANC EIN 81-1708177 MEDICAL PROVIDER | Other services Service code 49 | POB 842746 DALLAS, TX 75284 | $6K |
| MANAGED PRESCRIPTION PROGRAM EIN 86-0597187 DRUG PROVIDER | Other services Service code 49 | 10860 N. MAVINEE DR. ORO VALLEY, AZ 85737 | $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 | 351 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 351 | 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.