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 BLUE CROSS BLUE SHIELD EIN 87-0747736 NONE | Other services; Direct payment from the plan Service code 49 | — | $4.3M |
| CASTLIGHT HEALTH INC. EIN 26-1989091 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $826K |
| OPTUM RX EIN 33-0441200 NONE | Other fees; Direct payment from the plan Service code 50 | — | $287K |
| EGAN, RICHARD B EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $262K |
| VRX LLC EIN 27-1175996 NONE | Other services; Direct payment from the plan Service code 49 | — | $205K |
| POTTS, KEVIN J EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $193K |
| FIRST DATA EIN 59-2126793 NONE | Direct payment from the plan; Other services Service code 49 | — | $179K |
| PRECISION PROFESSIONALS EIN 46-0746003 NONE | Other services; Direct payment from the plan Service code 49 | — | $178K |
| BARNETT, GREGORY L EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $164K |
| JOHNSON, BEN EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $150K |
| HUGHES, CURT EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $142K |
| STEELE, CHRISTOPHER EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $138K |
| KENNETH R. NEUMANN NONE | Direct payment from the plan; Other fees Service code 50 | 2156 W HAPPINESS DR TAYLORSVILLE, UT 84129 | $138K |
| PAPPADAKIS, BARBARA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $132K |
| PORTER, BRADLEY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $131K |
| JENSEN, PATRICIA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $129K |
| TEUSCHER, BRADY G EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| CAMPBELL, STEPHEN EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $127K |
| ANTHONY, JENNIFER EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $123K |
| KREIS, KARA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $123K |
| FARNSWORTH, CARRIELYN J EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $123K |
| HATCH, MICHAEL T EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $120K |
| KITTERMAN, RICHARD EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $115K |
| KELLY, MICHAEL EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| DUMAC EIN 84-1370319 NONE | Other fees; Direct payment from the plan Service code 50 | — | $114K |
| MORGAN, DAVID EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $110K |
| TACHYON STI LLC EIN 46-2790087 NONE | Other services; Direct payment from the plan Service code 49 | — | $109K |
| FRANK WHITNEY NONE | Direct payment from the plan; Other fees Service code 50 | 1773 N 680 W OREM, UT 84057 | $103K |
| BIRKETT, JOHANNA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| PARKER, VON EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $93K |
| SIMS, PENNY EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $92K |
| ZIONS EIN 87-0189025 BANKER | Other services; Direct payment from the plan Service code 49 | — | $88K |
| WIDDISON, RONNIE W EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| TAYLOR, JOHN R EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $86K |
| SMART, JULIE EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| WHITLEY, JACOB EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| VANGUARD EIN 23-2186884 INVESTMENT MANAGER | Investment management fees paid directly by plan; Direct payment from the plan Service code 50 | — | $80K |
| STEVENS, JOHN P EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| HAYES, TONYA L EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| BIRKINSHAW, RASHELLE PERRY EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| HOWELL, JASON K EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| PUFF, ANDREA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| GILBERT, D MICHELE EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $74K |
| MCGUIRE, KELLY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| WARDROPE, ALYSON R EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $72K |
| HENDERSON, MICAH EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| HEALTHLINX LLC EIN 87-0660214 NONE | Other services; Direct payment from the plan Service code 49 | — | $70K |
| ARMSTRONG, DARIN C EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| RIEDLE, NORENE EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| CHANGE HEALTHCARE SOLUTIONS EIN 20-5716594 NONE | Direct payment from the plan; Other services Service code 49 | — | $67K |
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 | 23,164 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13,958 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 37,122 | 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.