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 |
|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY EIN 42-0127290 CONTRACT ADMINISTRATOR | Direct payment from the plan; Recordkeeping fees; Contract Administrator Service code 13 | — | $307K |
| SAGEVIEW ADVISORY GROUP EIN 33-0818667 INVESTMENT ADVISORY | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $49K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 ACCOUNTANT | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $36K |
| DAVID ZUERCHER EIN 45-5729777 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Investment advisory (plan) Service code 13 | — | $10K |
| LEN MCCANDLISS EIN 55-4520548 CONTRACT ADMINISTRATOR | Direct payment from the plan; Investment advisory (plan); Contract Administrator Service code 13 | — | $10K |
| MIKE STODDEN EIN 51-7626711 CONTRACT ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Investment advisory (plan) Service code 13 | — | $10K |
| PENSION CONSULTANTS EIN 94-2455733 CONTRACT ADMINISTRATOR | Direct payment from the plan; Investment advisory (plan); Contract Administrator Service code 13 | — | $8K |
| SKY BLUE SERVICE, INC. EIN 81-0942530 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Investment advisory (plan) Service code 13 | — | $8K |
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 | 2,160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3,206 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 88 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 5,458 | 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.