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 |
|---|---|---|---|
| INDEPENDENT HEALTH EIN 16-1237733 NONE | Claims processing Service code 12 | 511 FARBER LAKES DRIVE BUFFALO, NY 14221 | $298K |
| PHARMACY BENEFIT DIMENSIONS EIN 65-1261165 NONE | Claims processing Service code 12 | 511 FARBER LAKES DRIVE BUFFALO, NY 14221 | $27K |
| NOVA HEALTHCARE ADMINISTRATORS, INC EIN 16-6443379 NONE | Claims processing Service code 12 | 6215 SHERIDAN DRIVE, SUITE 100 WILLIAMSVILLE, NY 14221 | $26K |
| AP BENEFIT ADVISORS, LLC EIN 30-0837157 NONE | Insurance agents and brokers Service code 22 | 90A JOHN MUIR DRIVE AMHERST, NY 14228 | $18K |
| EASTERN VSP, INC. (NY) EIN 22-2777159 NONE | Claims processing Service code 12 | PO BOX 45223 SAN FRANCISCO, CA 941450223 | $15K |
| BENEFIT RESOURCE, LLC EIN 16-1428488 NONE | Claims processing Service code 12 | 245 KENNETH DRIVE ROCHESTER, NY 14623 | $12K |
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 | 427 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 427 | 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.