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 |
|---|---|---|---|
| STEVEN L. CARNES EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $193K |
| HANK L DIETERT EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $104K |
| LISA RANDOLPH EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $86K |
| GEORGE FLORES EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $84K |
| JUDY KORY EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $62K |
| MARIA RIOJAS EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $62K |
| PRISCILLA NASH EIN 75-1057008 EMPLOYEE (PLAN SPONSOR) | Employee (plan sponsor) Service code 35 | — | $59K |
| GRAYSTONE CONSULTING EIN 26-4310632 NONE | Other investment fees and expenses Service code 72 | — | $33K |
| KING & SOMMER, PLLC EIN 26-0673255 NONE | Legal Service code 29 | — | $25K |
| GONZALEZ & WALKER, CPAS EIN 74-2980278 NONE | Accounting (including auditing) Service code 10 | — | $21K |
| HAMMONDS DAVIS LAW PLLC EIN 85-3960752 NONE | Legal Service code 29 | — | $20K |
| ANDERSEN LAW FIRM PLLC EIN 81-1667780 NONE | Legal Service code 29 | — | $19K |
| ROBERT D. DABAGHIAN EIN 27-3580792 NONE | Legal Service code 29 | — | $14K |
| MAVERICK LAW, PC EIN 20-4459754 NONE | Legal Service code 29 | — | $11K |
| DAVID T. CAIN, P.C. EIN 74-2882188 NONE | Legal Service code 29 | — | $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 | 4,287 | 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) | 4,287 | 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."
No prospect flags tripped on this filing.