| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS5 | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA INSURANCE COMPANY | $13K | — | $13K | 11.76% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORPORATE CENTER WESTCHESTER, IL 60154 | TRANSAMERICA INSURANCE COMPANY | $6K | — | $6K | 5.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNION HEALTH SERVICE, INC. EIN 36-2302593 NONE | Other services; Claims processing; Contract Administrator Service code 12 | — | $12.8M |
| OPTUM RX, INC. EIN 33-0441200 NONE | Float revenue; Claims processing; Direct payment from the plan; Contract Administrator; Other fees Service code 12 | — | $4.3M |
| HEALTHLINK, INC. EIN 43-1364135 NONE | Other commissions; Other services; Other fees Service code 49 | — | $1.1M |
| HINES & ASSOCIATES EIN 36-3545085 NONE | Other services Service code 49 | — | $778K |
| SPECIALTY CARE MANAGEMENT EIN 20-5784836 NONE | Other services Service code 49 | — | $714K |
| HEALTH PLAN SYSTEMS, INC. EIN 01-0589640 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 15 | — | $261K |
| SOMMERS & FAHRENBACH, INC. EIN 36-1796440 NONE | Copying and duplicating; Participant communication Service code 36 | — | $171K |
| PREFERRED NETWORK ACCESS EIN 36-4018433 NONE | Other services Service code 49 | — | $129K |
| E. GALINGAN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $113K |
| E. COSTA EIN 26-2336180 EMPLOYEE | Plan Administrator; Employee (plan) Service code 14 | — | $111K |
| L. RILEY EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $109K |
| BASYS NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3700 KOPPERS STREET BALTIMORE, MD 21227 | $106K |
| T. BURTIN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $93K |
| S. THOMPSON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $88K |
| L. WALKER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $87K |
| C. SHELBY EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $79K |
| THE SEGAL COMPANY (MIDWEST), INC. EIN 13-1975125 NONE | Consulting (general); Actuarial Service code 11 | — | $78K |
| G. LEE EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $76K |
| E. GONZALEZ EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| J. JONES EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| B. THOMAS EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $71K |
| L. RODRIGUEZ EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| G. RIPPY EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| J. NERI EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| B. JOHNSON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $67K |
| C. HARRIS-ARMSTRONG EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $65K |
| K. REESE EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| N. MUHAMMAD-BANKS EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| R. WEAVER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| A. ROBLEDO EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| THE HENSLEY CO. EIN 36-1210990 NONE | Other services Service code 49 | — | $60K |
| R. WHITAKER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $58K |
| C. SEABRON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $58K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $56K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $55K |
| R. TAYLOR EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| C. XIE EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| G. RANGEL EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| CORVEL CORPORATION EIN 95-3382819 NONE | Other services Service code 49 | — | $50K |
| G. ROGERS EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| MANAGED CARE STAFFERS EIN 36-4411050 NONE | Other services Service code 49 | — | $47K |
| A. GOMEZ EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $46K |
| R. FRANCO EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $46K |
| H. KURTZ EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $46K |
| EXECUTEAM STAFFING EIN 34-1711012 NONE | Other services Service code 49 | — | $44K |
| P. BRANDON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $44K |
| A. BATES EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| D. TORAN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $41K |
| APPLEGATE CONSULTING GROUP EIN 45-4769589 NONE | Consulting (general) Service code 16 | — | $38K |
| U. IDEMUDIA EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $38K |
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 | 17,327 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 17,327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRANSAMERICA INSURANCE COMPANY | 32 | $107K |
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 2,080 | $51K |
| Other | SUN LIFE AND HEALTH INSURANCE COMPANY | 2,080 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,080 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.