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 |
|---|---|---|---|
| CLAIRE KEVILL EIN 81-2503587 PLAN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $71K |
| UNITE HERE EIN 13-3819434 NONE | Direct payment from the plan; Other services Service code 49 | 275 SEVENTH AVE. NEW YORK, NY 10001 | $71K |
| SCOTT ULEN EIN 81-2503587 PLAN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $59K |
| MCCRACKEN, STEMERMAN & HOLSBERRY EIN 94-1709555 NONE | Legal; Direct payment from the plan Service code 29 | 474 14TH ST, SUITE 1200 OAKLAND, CA 94612 | $50K |
| WITHUM, SMITH & BROWN, PC EIN 52-1391582 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 4600 EAST WEST HWY, SUITE 9800 BETHESDA, MD 20814 | $33K |
| SEGAL SELECT INSURANCE, INC EIN 46-0619194 NONE | Direct payment from the plan; Insurance brokerage commissions and fees Service code 50 | 333 WEST 34TH STREET, 2ND FLOOR NEW YORK, NY 100012402 | $28K |
| CARDAY ASSOCIATES, INC. EIN 53-0257019 NONE | Contract Administrator; Direct payment from the plan Service code 13 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $27K |
| WEYRICH, CRONIN & SORRA, LLC EIN 52-1391582 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 20 WIGHT AVE. HUNT VALLEY, MD 21030 | $9K |
| M&T TRUST COMPANY EIN 16-0538020 NONE | Custodial (other than securities) Service code 18 | ONE MT PLAZA BUFFALO, NY 14203 | $6K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 36-4291971 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 1667 K STREET NW WASHINGTON, DC 20006 | $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 | 3,194 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,194 | 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.