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 |
|---|---|---|---|
| ANTHEM EIN 84-0747736 NONE | Other services; Direct payment from the plan Service code 49 | — | $4.8M |
| OPTUM RX EIN 33-0441200 NONE | Direct payment from the plan; Other fees Service code 50 | — | $274K |
| VRX LLC EIN 27-1175996 NONE | Other services; Direct payment from the plan Service code 49 | — | $233K |
| EGAN, RICHARD B EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $226K |
| CASTLIGHT HEALTH INC EIN 26-1989091 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $217K |
| WATERMARK MEDICAL, INC EIN 04-3490832 NONE | Other services; Direct payment from the plan Service code 49 | — | $192K |
| POTTS, KEVIN J EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $182K |
| FIRST DATA EIN 59-2126793 NONE | Direct payment from the plan; Other services Service code 49 | — | $172K |
| NEILSON, ANGELA F EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $147K |
| JOHNSON, BEN EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $147K |
| STEELE, CHRISTOPHER EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $145K |
| KENNETH R NEUMANN EIN 54-8318430 NONE | Other services; Direct payment from the plan Service code 49 | — | $140K |
| DUMAC EIN 84-1370319 NONE | Direct payment from the plan; Other fees Service code 50 | — | $137K |
| PAPPADAKIS, BARBARA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $136K |
| HUGHES, CURT EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $136K |
| ESQUIBEL, ROBERT EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| JENSEN, PATRICIA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $131K |
| KELLY, MICHAEL EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| CAMPBELL, STEPHEN EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $124K |
| ANTHONY, JENNIFER EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $121K |
| KREIS, KARA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $121K |
| HATCH, MICHAEL T EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $121K |
| TACHYON STI LLC EIN 46-2790087 NONE | Direct payment from the plan; Other services Service code 49 | — | $114K |
| KITTERMAN, RICHARD EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| MORGAN, DAVID EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $109K |
| GARY STAHL EIN 51-6800152 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $103K |
| CARRIE J FARNSWORTH NONE | Direct payment from the plan; Other services Service code 49 | 370 S KAYS DRIVE KAYSVILLE, UT 84037 | $93K |
| PORTER, BRADLEY J EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| PARKER, VON EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| SIMS, PENNY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| BIRKETT, JOHANNA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| SMART, JULIE EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| WHITLEY, JACOB EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| HAYES, TONYA L EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| ZIONS EIN 87-0189025 INVESTMENT MANAGER | Other services; Direct payment from the plan Service code 49 | — | $78K |
| TRAMMELL, SUSAN EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $76K |
| VANGUARD EIN 23-2186884 INVESTMENT MANAGER | Investment management fees paid directly by plan; Direct payment from the plan Service code 50 | — | $76K |
| PUFF, ANDREA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| GILBERT, D MICHELE EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| ARMSTRONG, DARIN C EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| HENDERSON, MICAH EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| BISHOP, ESTELLA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| MCGUIRE, KELLY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| WARDROPE, ALYSON R EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| RIEDLE, NORENE EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| BEING VALUED EIN 20-8256230 NONE | Direct payment from the plan; Other services Service code 49 | — | $71K |
| MICHAEL D CARRIG EIN 52-8603185 CONTRACT ADMINISTRATOR | Contract Administrator; Direct payment from the plan Service code 13 | — | $69K |
| HOWELL, JASON K EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| HILL, GREGORY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $65K |
| HUBBART, JENNY EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
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 | 24,868 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14,080 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 38,948 | 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.