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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD ASSOCIATION EIN 13-5656874 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $630K |
| TOWERS WATSON DELAWARE, INC. EIN 53-0181291 ACTUARIAL | Actuarial Service code 11 | — | $182K |
| ALLSUP, INC. EIN 37-1170934 CONSULTING | Consulting (general) Service code 16 | — | $107K |
| SEYFARTH SHAW EIN 36-2152202 LEGAL | Legal Service code 29 | — | $68K |
| NORTHERN TRUST EIN 36-1561860 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $32K |
| GRANT THORNTON, LLP EIN 36-6055558 ACCOUNTING | Accounting (including auditing) Service code 10 | — | $27K |
| THE ROBINSON GROUP EIN 38-3419345 CONSULTING | Consulting (general) Service code 16 | — | $22K |
| AONHEWITT INVESTMENT CONSULTANTS EIN 36-3109434 INVESTMENT-ADVISORY | Investment advisory (plan) Service code 27 | — | $18K |
| MOMENTUM HEALTHCARE, INC. EIN 59-3665808 CONSULTING | Consulting (general) Service code 16 | — | $17K |
| TERRY L. NICOLA, MD, MS CONSULTING | Consulting (general) Service code 16 | UIC SPORTS MEDICINE CENTER CHICAGO, IL 60608 | $16K |
| PATRICIA S MIKES, MD CONSULTING | Consulting (general) Service code 16 | 201 E. HURON, SUITE 11-245 CHICAGO, IL 60611 | $15K |
| MLS GROUP OF COMPANIES EIN 38-3341904 CONSULTING | Consulting (general) Service code 16 | — | $15K |
| GILBERT M. HEFTER, MD EIN 31-9261647 CONSULTING (GENERAL) | Consulting (general) Service code 16 | — | $9K |
| ICS-MERRILL EIN 75-1444139 CONSULTING (GENERAL) | Consulting (general) Service code 16 | — | $8K |
| RICHARD P. HARRIS, MD CONSULTING (GENERAL) | Consulting (general) Service code 16 | 180 N. MICHIGAN AVENUE, SUITE 2402 CHICAGO, IL 60601 | $7K |
| NORMAN MILLER, MD EIN 20-4790823 CONSULTING (GENERAL) | Consulting (general) Service code 16 | — | $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 | 6,803 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 839 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,642 | 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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.