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 | 1820 PRESTON PARK BLVD SUITE 1900 PLANO, TX 75093 | $564K |
| OCCMED GROUP, PA EIN 75-2893870 MEDICAL PROVIDER | Other services Service code 49 | 8115 PRESTON RD LB41 DALLAS, TX 75225 | $137K |
| FORT WORTH OCCMED PARTNERS, LL EIN 20-1788445 MEDICAL PROVIDER | Other services Service code 49 | POB 12089 FORT WORTH, TX 76110 | $123K |
| OCCUPATIONAL HEALTH CENTERS EIN 75-2014828 MEDICAL PROVIDER | Other services Service code 49 | POB 9005 ADDISON, TX 75001 | $99K |
| FEE, SMITH, SHARP AND VITULLO EIN 68-0502076 LEGAL | Legal Service code 29 | 13155 NOEL ROAD SUITE 1000 DALLAS, TX 75240 | $75K |
| TEXAS HEALTH HARRIS METHODIST HOSPI EIN 75-6001743 MEDICAL PROVIDER | Other services Service code 49 | POB 916047 FORT WORTH, TX 76191 | $30K |
| TEXAS MEDCLINIC EIN 47-5349604 MEDICAL PROVIDER | Other services Service code 49 | 13722 EMBASSY ROW SAN ANTONIO, TX 78216 | $21K |
| TEXAS HEALTH RESOURCES EIN 75-2678857 MEDICAL PROVIDER | Other services Service code 49 | POB 733546 DALLAS, TX 75373 | $14K |
| CARENOW EIN 75-2473418 MEDICAL PROVIDER | Other services Service code 49 | POB 743571 ATLANTA, GA 30374 | $9K |
| HOLMSTEN MEDICAL MANAGEMENT EIN 74-1670320 MEDICAL PROVIDER | Other services Service code 49 | 7545 S BRAESWOOD HOUSTON, TX 77071 | $8K |
| TEXAS MEDICINE RESOURCES LLP EIN 75-2737522 MEDICAL PROVIDER | Other services Service code 49 | POB 8549 FORT WORTH, TX 76124 | $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 | 424 | 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) | 424 | 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.