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 |
|---|---|---|---|
| RECEIVERSHIP MANAGEMENT INC EIN 20-0200514 NONE | Named fiduciary; Other fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Direct payment from the plan; Contract Administrator; Other services Service code 12 | SUITE 490 510 HOSPITAL DRIVE MADISON, TN 37115 | $297K |
| WYATT TARRANT COMBS EIN 61-0468003 NONE | Legal Service code 29 | 333 COMMERCE STREET SUITE 1050 NASHVILLE, TN 37201 | $217K |
| S & S HEALTHCARE STRATEGIES LTD EIN 31-1418743 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Claims processing; Other fees; Other services Service code 12 | 1385 KEMPER MEADOW DR CINCINNATI, OH 45240 | $40K |
| BERRY & TUDOR PC EIN 65-1525112 NONE | Legal Service code 29 | SUITE B 23 5123 VIRGINIA WAY BRENTWOOD, TN 37027 | $23K |
| HAWAII MAINLAND ADMINISTRATORS EIN 45-4411599 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Participant communication; Claims processing Service code 12 | 1600 WEST BROADWAY RD SUITE 300 TEMPE, AZ 85282 | $13K |
| ELIZABETH WOOD EIN 41-1021052 NONE | Claims processing Service code 12 | 4244 POND CREEK RD PEGRAM, TN 37143 | $10K |
| CALDWELL LAW FIRM EIN 51-1582024 NONE | Legal Service code 29 | 21550 OXNARD ST 3RD FLOOR WOODLAND HILLS, CA 91367 | $9K |
| BARNES & THORNBURG LLP EIN 35-0900596 NONE | Legal Service code 29 | SUITE 300 2029 CENTURY PARK EAST LOS ANGELES, CA 900672904 | $7K |
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. |
| 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.