| Wal-Mart Stores Inc Associates' Health & Welfare Trust | 71-0569421 | 1 | 2013 | Administrative Services | $54,212,960 |
| Kpmg LLP Health Plans Trust | 74-6528872 | 1 | 2013 | Admin & Insurance | $15,531,783 |
| Baptist Memorial Medical Ministries | 62-1407946 | 1 | 2013 | Administrative Services | $4,658,051 |
| American Electric Power System Employees Benefit Trust | 51-6024654 | 1 | 2013 | Administration Fees | $4,167,888 |
| Mason Tenders District Council Welfare Fund | 13-5537605 | 1 | 2013 | Health Claim Process | $3,933,249 |
| Unknown Organization | 52-2323390 | 1 | 2014 | Administration | $3,598,282 |
| Northeast Treatment Centers Inc. | 23-1728478 | 1 | 2013 | Medical Insurance | $2,638,821 |
| Georgia Cancer Specialists Ipc Voluntary Employees Beneficiary Assoc | 27-6362820 | 1 | 2013 | Administration Of Benefit Plan | $2,519,546 |
| Teamsters Western Region and New Jersey Health Care Fund | 86-6052021 | 1 | 2013 | Claims Processing | $2,402,183 |
| Greater Philadelphia Health Action | 23-7082074 | 1 | 2013 | Medical Staffing Agency | $1,975,807 |
| Avaya Inc Represented Employees' Postretirement Health Benefits Trust | 36-7364496 | 1 | 2013 | claims administrator | $1,454,331 |
| Davidson Hotel Company Employee Health Care Trust | 62-6176418 | 1 | 2013 | Administrative Fees | $1,418,568 |
| 1199-Seiu Greater New York Benefit Fund | 13-6125570 | 1 | 2013 | Claims Processing | $1,414,158 |
| Circles of Care Inc. | 59-1101553 | 1 | 2013 | Emp Health Ins | $1,232,485 |
| Incharge Institute of America Inc | 52-2196183 | 1 | 2013 | Medical Insurance | $1,068,122 |
| Management-Ila Managed Health Care Trust Fund | 13-3968546 | 1 | 2013 | Administration | $1,048,599 |
| Aramco Us Welfare Benefit Plan Trust | 13-3827659 | 1 | 2020 | Administration Fee | $1,046,384 |
| Huston-Tillotson University | 74-1180151 | 1 | 2020 | Insurance | $944,022 |
| Community Transit of Deleware County Inc. | 23-2224212 | 1 | 2013 | Insurance | $873,362 |
| Montgomery County Mh-Mr Emergency Service | 23-1894907 | 1 | 2013 | Insurance | $866,108 |
| Independence Charter School | 23-3060261 | 1 | 2013 | Insurance | $803,315 |
| Coastal Community and Teachers Credit Union | 74-1505143 | 1 | 2023 | Medical Ins | $579,440 |
| Newark AIDS Consortium Inc. | 22-2903536 | 1 | 2013 | Insurance | $533,143 |
| American Electric Power System Retiree Medical Trust for Certain Union Employees | 75-2517498 | 1 | 2013 | Administration Fees | $517,466 |
| Orange Children & Parents Together Inc | 95-3062939 | 1 | 2013 | Health services | $509,010 |
| Intercommunity Inc. | 06-0954809 | 1 | 2013 | Health Insurance | $504,768 |
| Memphis Street Academy Charter School at J P Jones | 45-5441135 | 1 | 2013 | Medical Insurance | $473,075 |
| Aramco Us Retiree Welfare Benefit Trust | 13-3833680 | 1 | 2020 | Administration Fee | $466,524 |
| International Society for Pharmacoeconomics and Outcomes Research | 22-3369741 | 1 | 2022 | Medical Benefits | $446,101 |
| Teamsters Local Union No 671 Health Services and Insurance Plan | 06-0691728 | 1 | 2013 | PPO; claim repricing | $436,822 |
| Employee Benefit Trust of Bank of Montreal-Harris Trust | 36-6551984 | 1 | 2013 | Administrative Srvcs | $400,419 |
| Keystone Academy Charter School | 61-1524966 | 1 | 2013 | Insurance Provider | $397,860 |
| Dickinson Financial Corporation Voluntary Employee Benefit Association Trust | 43-6350419 | 1 | 2013 | Plan Administrator | $332,899 |
| Word Among Us Inc. | 52-1320592 | 1 | 2013 | Health Insurance | $314,122 |
| Wissahickon Charter School | 02-0534735 | 1 | 2013 | Insurance | $288,761 |
| Jacksonville Plumbers and Pipefitters Health and Welfare Fund | 59-0810108 | 1 | 2013 | Contract Admin | $277,418 |
| Ibew Health and Welfare Trust Fund Neca Local Union No 313 | 23-7024556 | 1 | 2013 | Admin Service Fee | $268,603 |
| Mental Health Association of Montgomery County MD Inc | 52-0681147 | 1 | 2013 | Health Care Services | $211,137 |
| Tara Golf & Country Club Inc | 65-0120044 | 1 | 2013 | Health Insurance | $208,900 |
| Ibt Local 145 Health Services Insurance Plan | 06-0711441 | 1 | 2013 | Admin Fees For Benefits | $204,105 |
| Iron Workers Locals 549 & 550 Medical & Benefit Fund | 51-0168650 | 1 | 2013 | Medical Insurance Administration Fees | $165,582 |
| Ibew-363 Labor Welfare Fund | 13-6132502 | 1 | 2013 | Claims Processing | $161,715 |
| Union Construction Workers Health Plan | 34-4442536 | 1 | 2013 | Health Care Provider | $154,156 |
| Solomon Schechter Day School of Nassau County | 11-2149235 | 1 | 2013 | Health Insurance | $148,871 |
| Pencils of Promise Incorporated | 26-3618722 | 1 | 2016 | Health Care | $135,142 |
| Alaska Laborers Construction Industry Health & Security Fund | 91-6028565 | 1 | 2013 | Claims Admin | $116,089 |
| South Bay Hotel Employees Restaurant Employees Welfare Trust Fund | 94-6080365 | 1 | 2013 | Claims Processing | $114,815 |
| Sierra Pacific Power Medical and Dental Plan Trust | 88-6033779 | 1 | 2013 | Contract Administration | $110,043 |
| Ronald Mcdonald House Charities of the Philadelphia Region | 23-7377505 | 1 | 2013 | Health Insurance | $100,616 |
