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 |
|---|---|---|---|
| REED GROUP EIN 84-0733950 CLAIMS ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | 10 HUDSON YARDS NEW YORK, NY 10001 | $688K |
| WILLIS TOWERS WATSON EIN 98-1348145 RECORDKEEPING | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 10087 | $116K |
| MORRIS DAVIS CHAN & TAN LLP EIN 94-2214860 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $34K |
| STATE STREET BANK & TRUST EIN 04-1867445 CUSTODIAN | Trustee (directed); Trustee (bank, trust company, or similar financial institution); Investment management; Direct payment from the plan; Other fees Service code 21 | 1 HERITAGE DRIVE QUINCY, MA 02171 | $5K |
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 | 20,828 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 440 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 21,268 | 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.