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 |
|---|---|---|---|
| UNITE HERE EIN 13-3819434 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| FIRST BAPTIST CHURCH SILVER SPRING NONE | Other services; Direct payment from the plan Service code 49 | 828 WAYNE AVE SILVER SPRING, MD 20910 | $71K |
| SCOTT ULEN PLAN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $65K |
| WITHUM, SMITH & BROWN, PC EIN 52-1391582 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $59K |
| CLAIRE KEVILL NONE | Consulting (general); Direct payment from the plan Service code 16 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $49K |
| MORGAN BENGEL PLAN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 7130 COLUMBIA GATEWAY DR, SUITE COLUMBIA, MD 21046 | $40K |
| BLACKHAWK ENGAGEMENT SOLUTIONS EIN 91-2198647 NONE | Direct payment from the plan; Other services Service code 49 | — | $33K |
| CARDAY ASSOCIATES, INC. NONE | Contract Administrator; Direct payment from the plan Service code 13 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $28K |
| MCCRACKEN, STEMERMAN & HOLSBERRY EIN 94-1709555 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| SEGAL SELECT INSURANCE, INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Direct payment from the plan Service code 50 | — | $8K |
| ROXANA WHITSON NONE | Consulting (general); Direct payment from the plan Service code 16 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $8K |
| M&T TRUST COMPANY EIN 16-0538020 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $7K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 36-4291971 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $6K |
| CASEMGR SOLUTIONS EIN 82-1287985 NONE | Recordkeeping fees; Direct payment from the plan Service code 50 | — | $6K |
| BERRY FRESH FOODS EIN 84-3736726 NONE | Other services; Direct payment from the plan Service code 49 | — | $5K |
| AMERICAN GRAPHICS PRINTING CO. EIN 38-2090931 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $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 | 3,156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,156 | 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.