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 |
|---|---|---|---|
| RELIANCE STANDARD EIN 36-0883760 NONE | Insurance services Service code 23 | — | $594K |
| CNIC HEALTH SOLUTION EIN 71-0873411 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $196K |
| CORPORATE BENEFITS CONSORTIUM EIN 46-1359884 CONSULTANT | Insurance agents and brokers Service code 22 | — | $41K |
| MAXOR PLUS LTD EIN 75-2676894 NETWORK PROVIDER | Other services Service code 49 | — | $40K |
| HOME LOAN & INVESTMENT EIN 84-0229710 BROKER | Insurance agents and brokers Service code 22 | 205 N. 4TH ST GRAND JUNCTION, CO 81501 | $30K |
| TC3 HEALTH INC EIN 13-4346850 NETWORK | Other services Service code 49 | — | $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 | 546 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 554 | 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.