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 | $214K |
| FEE, SMITH, SHARP & VITULLO EIN 68-0502076 LEGAL | Legal Service code 29 | 13155 NOEL RD SUITE 1000 DALLAS, TX 75240 | $147K |
| OCCMED GROUP, PA EIN 75-2893870 MEDICAL PROVIDER | Other services Service code 49 | 8115 PRESTON RD LB41 DALLAS, TX 75225 | $85K |
| OCUPATIONAL HEALTH CENTERS EIN 75-2014828 MEDICAL PROVIDER | Other services Service code 49 | POB 9005 ADDISON, TX 75001 | $78K |
| FORT WORTH OCCMED PARTNERS EIN 20-1784456 MEDICAL PROVIDER | Other services Service code 49 | POB 12089 FORT WORTH, TX 76110 | $50K |
| TEXAS INSURANCE CLAIMS SERVICE INC EIN 75-1737178 VALUATION SERVICES | Other services Service code 49 | POB 832408 RICHARDSON, TX 75080 | $11K |
| H JAY BOULAS, MD EIN 75-2967030 MEDICAL PROVIDER | Other services Service code 49 | 8220 WALNUT HILL LN SUITE 514 DALLAS, TX 75231 | $10K |
| TEXAS HEALTH HARRIS METHODIST EIN 75-6001743 MEDICAL PROVIDER | Other services Service code 49 | POB 916063 FORT WORTH, TX 76191 | $8K |
| MEC ASSOCIATES/PRO MED SOUTH EIN 74-2448113 MEDICAL PROVIDER | Other services Service code 49 | 3801 S LAMAR AUSTIN, TX 78704 | $8K |
| BREZINA CLAIMS ASSOCIATES, INC EIN 76-0276550 VALUATION SERVICES | Other services Service code 49 | POB 36887 HOUSTON, TX 77236 | $8K |
| ST DAVID'S HOSPITAL EIN 74-2781812 MEDICAL PROVIDER | Other services Service code 49 | POB 406167 ATLANTA, GA 30384 | $7K |
| CARENOW CORPORATE EIN 75-2473418 MEDICAL PROVIDER | Other services Service code 49 | POB 9101 COPPELL, TX 75019 | $6K |
| CYPRESS CARE EIN 26-0080565 PHARMACY PROVIDER | Other services Service code 49 | POB 741975 ATLANTA, GA 30374 | $6K |
| BRAESWOOD OCCUPATIONAL EIN 74-1670320 MEDICAL PROVIDER | Other services Service code 49 | 7545 S BRAESWOOD HOUSTON, TX 77071 | $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 | 3,300 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 3,300 | 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.