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 |
|---|---|---|---|
| IRONWORKERS EMPLOYEE BENEFIT CORP EIN 95-3084599 ADMIN. CORPORATION | Claims processing Service code 12 | 131 N. EL MOLINO AVE PASADENA, CA 91101 | $1.2M |
| PETRA CONSULTING GROUP INC. EIN 95-4308045 NONE | Consulting (general) Service code 16 | 787 GREENRIDGE DRIVE LA CANADA, CA 91011 | $150K |
| MELISSA W. COOK & ASSOCIATES EIN 95-3245809 NONE | Legal Service code 29 | 3444 CAMINO DEL RIO NORTH, STE 106 SAN DIEGO, CA 92108 | $36K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 1000 LAKES DRIVE SUITE 200 WEST COVINA, CA 91790 | $23K |
| SCHWARTZ, STEINSAPIR, DOHRMANN EIN 56-9588907 NONE | Legal Service code 29 | 6300 WILSHIRE BLVD LOS ANGELES, CA 90048 | $21K |
| BERNARD KOTKIN AND COMPANY LLP EIN 95-2556670 NONE | Accounting (including auditing) Service code 10 | 533 SOUTH FREMONT AVE LOS ANGELES, CA 90071 | $18K |
| TREASURE SEARCH PARTNERS EIN 47-4192180 NONE | Other fees Service code 99 | 2528 SUTTER STREET SAN FRANCISCO, CA 94115 | $8K |
| BNY MELLON EIN 95-3571558 NONE | Custodial (securities) Service code 19 | P.O. BOX 392006 PITTSBURG, PA 152519006 | $5K |
| KRAW LAW GROUP, A PROFESSIONAL CORP EIN 32-0465891 NONE | Legal Service code 29 | 605 ELLIS STREET, SUITE 200 MOUNTAIN VIEW, CA 94043 | $5K |
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 | 11,349 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 11,349 | 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.