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 |
|---|---|---|---|
| JONATHAN W DEAN EIN 83-0730170 EMPLOYEE | Employee (plan) Service code 30 | 1405 BROADWAY STREET SHEFFIELD, AL 35660 | $124K |
| TED SOILEAU CPA LLC EIN 45-1621265 ACCOUNTANT | Accounting (including auditing) Service code 10 | 429 GOVERNMENT ST FLOOR 2 BATON ROUGE, LA 70802 | $15K |
| LISA CUEVAS EIN 83-0730170 EMPLOYEE | Employee (plan) Service code 30 | 1405 BROADWAY STREET SHEFFIELD, AL 35660 | $6K |
| BRANSTETTER STRANCH & JENNINGS EIN 62-0513048 ATTORNEY | Insurance services Service code 23 | 223 ROSA L PARKS AVE NASHVILLE, TN 37203 | $2K |
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 | 192 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 192 | 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.