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 |
|---|---|---|---|
| CIGNA NONE | Consulting (general); Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | PO BOX 644546 PITTSBURGH, PA 15264 | $1.5M |
| A.W. REHN AND ASSOCIATES EIN 91-1008626 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing Service code 12 | — | $1.1M |
| DELTA DENTAL NONE | Claims processing; Direct payment from the plan Service code 12 | PO BOX 75983 SEATTLE, WA 98175 | $227K |
| ENVISION PHARMACEUTICAL SERVICES NONE | Direct payment from the plan; Claims processing Service code 12 | 1100 INVESTMENT BLVD EL DORADO HILLS, CA 95762 | $115K |
| RAINIER INVESTMENT MANAGEMENT EIN 91-1457076 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $106K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $96K |
| TURNER, STOEVE & GAGLIARDI PS EIN 91-1282506 NONE | Legal; Direct payment from the plan Service code 29 | — | $84K |
| ANASTASI, MOORE & MARTIN PLLC EIN 20-8199084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $73K |
| ROBBLEE, DETWILER & BLACK, PLLP EIN 91-1534732 NONE | Legal; Direct payment from the plan Service code 29 | — | $65K |
| QLIANCE MEDICAL GROUP NONE | Direct payment from the plan; Other services Service code 49 | 521 2ND PLACE N KENT, WA 980324537 | $63K |
| WASHINGTON TRUST BANK PARTY-IN-INTEREST | Custodial (other than securities); Direct payment from the plan Service code 18 | PO BOX 2127 SPOKANE, WA 99210 | $62K |
| FULLY EFFECTIVE EMPLOYEES EIN 91-1742034 NONE | Other services; Direct payment from the plan Service code 49 | — | $61K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| HEALTH MANAGEMENT SERVICES NONE | Direct payment from the plan; Other fees Service code 50 | 3000 A STREET SUITE 300 ANCHORAGE, AK 99503 | $25K |
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 | 3,669 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,293 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,962 | 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.