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 |
|---|---|---|---|
| WYATT TARRANT & COMBS EIN 61-0468003 NONE | Legal Service code 29 | 400 WEST MARKET ST STE 2000 LOUISVILLE, KY 40202 | $104K |
| RECEIVERSHIP MANAGEMENT, INC. EIN 20-0200514 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Consulting (general); Other fees; Named fiduciary Service code 12 | 1994 N GALLATIN PIKE STE 202 MADISON, TN 371155049 | $52K |
| BERRY & TUDOR PC EIN 65-1525112 NONE | Legal Service code 29 | 5123 VIRGINIA WAY STE B-23 BRENTWOOD, TN 37027 | $9K |
| CALDWELL LAW FIRM EIN 51-1582024 NONE | Legal Service code 29 | 401 WILSHIRE BOULEVARD 12TH FLOOR SANTA MONICA, CA 90401 | $4K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | 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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.