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 |
|---|---|---|---|
| E.I.S.B., INC. EIN 94-1541240 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $767K |
| EMPLOYEE 03 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $249K |
| EMPLOYEE 09 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $234K |
| EMPLOYEE 06 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $219K |
| EMPLOYEE 15 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $219K |
| EMPLOYEE 12 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $200K |
| EMPLOYEE 08 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $127K |
| EMPLOYEE 05 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| EMPLOYEE 14 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
| FAIRMONT SAN FRANCISCO EIN 30-0889831 NONE | Direct payment from the plan; Other services Service code 49 | — | $89K |
| ELECTRICAL TRAINING ALLIANCE EIN 53-0212938 NONE | Direct payment from the plan; Other services Service code 49 | — | $56K |
| EMPLOYEE 13 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $48K |
| EMPLOYEE 01 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| STRATEGY WORKPLACE COMMUNICATIONS EIN 94-3331038 NONE | Direct payment from the plan; Other services Service code 49 | — | $44K |
| EMPLOYEE 10 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $43K |
| EMPLOYEE 04 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| EMPLOYEE 02 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $42K |
| EMPLOYEE 07 EIN 94-6061905 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $42K |
| EMPLOYEE 11 EIN 94-6061905 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $40K |
| NEYHART, ANDERSON, FLYNN & GROSBOLL EIN 94-2576729 NONE | Legal; Direct payment from the plan Service code 29 | — | $31K |
| TELUS HEALTH LTD EIN 52-1883918 NONE | Other services; Direct payment from the plan Service code 49 | — | $13K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| PROTECH SKILLS INSTITUTE EIN 93-3187348 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| WHEELER SONOMA PRINTERS EIN 94-2203880 NONE | Direct payment from the plan; Other services Service code 49 | — | $6K |
| ALAN BILLER AND ASSOCIATES EIN 94-2854958 NONE | Direct payment from the plan; Investment management Service code 28 | — | $5K |
| STEPHEN HORN INSURANCE SERVICES EIN 94-3249244 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $0 |
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 | 108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 108 | 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."
No prospect flags tripped on this filing.