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 | Insurance services; Direct payment from the plan Service code 23 | — | $3.9M |
| OPTUM RX EIN 33-0441200 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.4M |
| EGAN, RICHARD B EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $321K |
| POTTS, KEVIN J EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $260K |
| BARNETT, GREGORY L EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $259K |
| DUMAC EIN 84-1370319 NONE | Direct payment from the plan; Other services Service code 49 | — | $237K |
| JOHNSON, BEN EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $187K |
| HUGHES, CURT EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $181K |
| PORTER, BRADLEY J EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $180K |
| ANTHONY, JENNIFER EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $164K |
| TAYLOR, JOHN R EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $161K |
| Y&L CONSULTING, INC. EIN 36-4248787 | Employee (plan); Consulting (general) Service code 16 | — | $159K |
| HATCH, MICHAEL T EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $155K |
| NEWMAN, CURTIS C EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $150K |
| FARNSWORTH, CARRIELYN J EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $147K |
| STEELE, CHRISTOPHER EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $144K |
| WIDDISON, RONNIE W EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $142K |
| KREIS, KARA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $142K |
| BARBARA A. MARTZ NONE | Direct payment from the plan; Other services Service code 49 | 10175 CALLE MARIA ST RENO, NV 89508 | $140K |
| ADAMS, SPENCER L EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $140K |
| TEUSCHER, BRADY GRANT EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $138K |
| KENNETH R NEUMANN EIN 54-8318430 NONE | Direct payment from the plan; Other services Service code 49 | — | $133K |
| KITTERMAN, RICHARD EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $128K |
| PATTEN ENTERPRISES, INC EIN 87-0560099 NONE | Direct payment from the plan; Other services Service code 49 | — | $124K |
| PARKER, VON EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| DONOHUE, RICHARD M EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| VANTIV EIN 26-4532998 NONE | Direct payment from the plan; Other services Service code 49 | — | $117K |
| WHITLEY, JACOB EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $114K |
| BARKER, KIRK T EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
| STEVENS, JOHN P EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $112K |
| LOGO CONCEPTS EIN 87-0552186 NONE | Other services; Direct payment from the plan Service code 49 | — | $111K |
| SMART, JULIE EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $106K |
| BIRKETT, JOHANNA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $105K |
| CASTELLANO, TAMARA D EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $101K |
| PUFF, ANDREA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| ARMSTRONG, DARIN C EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| HENDERSON, MICAH EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| GILBERT, D MICHELE EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| HAYES, TONYA L EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| JENSEN, PATRICIA EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $83K |
| MCGUIRE, KELLY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| WARDROPE, ALYSON ROSEMARY EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| TIMPANOGOS PHARMACY CONSULTANT EIN 20-4591107 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $81K |
| BONSTEEL, RAY EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| HANKS, WADE K EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| WHITESIDES, TYSON W EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $78K |
| LAWRENCE, LORI EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| WOOD, JEFFREY D EIN 87-0427760 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| DALE, KARA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
| AHIO, ANNA EIN 87-0427760 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $73K |
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 | 15,676 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13,244 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 28,920 | 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.