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 |
|---|---|---|---|
| TRANSWESTERN INSURANCE ADMIN EIN 77-0118024 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | P O BOX 9817 FRESNO, CA 93794 | $33K |
| NATIONAL UNDERWRITING SERVICES EIN 76-0168793 STOP-LOSS CARRIER | Other fees Service code 99 | 14893 S.H. 16 NORTH #1 HELOTES, TX 78023 | $21K |
| HEALTHSMART EIN 68-0025709 MEDICAL PROVIDER | Other fees Service code 99 | P.O BOX 207102 DALLAS, TX 75320 | $9K |
| SMITH BOMAN & ASSOCIATES EIN 94-2911577 BROKER | Insurance agents and brokers Service code 22 | P.O BOX 93718 FRESNO, CA 93794 | $7K |
| PAYER COMPASS, LLC NETWORK | Other services Service code 49 | 5800 GRANITE PARKWAY STE.450 PLANO, TX 75024 | $309 |
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 | 176 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 176 | 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.