| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA INSURANCE COMPANY | $9K | — | $9K | 11.76% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORPORATE CENTER WESTCHESTER, IL 60154 | TRANSAMERICA INSURANCE COMPANY | $5K | — | $5K | 5.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNION HEALTH SERVICE, INC. EIN 36-2302593 NONE | Claims processing; Contract Administrator; Other services Service code 12 | — | $12.4M |
| OPTUM RX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Direct payment from the plan; Contract Administrator; Other fees; Float revenue; Claims processing Service code 12 | — | $5.3M |
| HEALTHLINK, INC. EIN 43-1364135 NONE | Other services; Other commissions; Other fees Service code 49 | — | $1.0M |
| HINES & ASSOCIATES EIN 36-3545085 NONE | Other services Service code 49 | — | $809K |
| MULTIPLAN NONE | Other services Service code 49 | 535 E DIEHL ROAD NAPERVILLE, IL 60563 | $465K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | — | $220K |
| SPECIALTY CARE MANAGEMENT EIN 87-4610160 NONE | Other services Service code 49 | — | $190K |
| E. COSTA EIN 26-2336180 ADMINISTRATOR | Plan Administrator; Employee (plan) Service code 14 | — | $161K |
| E. GALINGAN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $126K |
| L. WALKER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $121K |
| PREFERRED NETWORK ACCESS EIN 36-4018433 NONE | Other services Service code 49 | — | $111K |
| D. ACKERMAN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $103K |
| T. BURTIN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $101K |
| L. RILEY EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $97K |
| C. HARRIS-ARMSTRONG EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $96K |
| B. JOHNSON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $96K |
| G. RED EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $95K |
| THE SEGAL COMPANY (MIDWEST), INC. EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $93K |
| ZELIS PAYMENTS HOLDINGS LLC EIN 84-3069529 NONE | Participant communication; Non-monetary compensation Service code 38 | — | $93K |
| R. WHITAKER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $91K |
| J. NERI EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $87K |
| P. BRANDON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $85K |
| V. FOSTER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $85K |
| J. MACK EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $84K |
| S. THOMPSON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $83K |
| E. GONZALEZ EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $78K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $70K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing) Service code 10 | — | $69K |
| C. SEABRON EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| T. BELLO EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| D. PANTOJA EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| DOWD BLOCH BENNETT CERVONE AUERBACH EIN 36-3371377 NONE | Legal Service code 29 | — | $62K |
| G. RANGEL EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| M. DUNBAR BRAGGS EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $59K |
| D. TORAN EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $59K |
| N. MUHAMMAD-BANKS EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $58K |
| C. ALVAREZ EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $58K |
| R. FRANCO EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $57K |
| E. TORRES EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $56K |
| SOMMERS & FAHRENBACH, INC. EIN 36-1796440 NONE | Copying and duplicating; Participant communication Service code 36 | — | $54K |
| TAB SERVICE COMPANY EIN 36-2463139 NONE | Other services; Copying and duplicating Service code 36 | — | $54K |
| S. BRADLEY EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| APPLEGATE CONSULTING GROUP EIN 45-4769589 NONE | Consulting (general) Service code 16 | — | $49K |
| A. BRISCOE EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| G. LEE EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| G. ROGERS EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| K-PLUS COMPUTER SERVICES, LLC EIN 36-4282001 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $47K |
| V. GARCIA EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| P. RICE BANISTER EIN 26-2336180 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| CERIS, INC. EIN 87-2289736 NONE | Other services Service code 49 | — | $43K |
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 | 16,554 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 16,554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRANSAMERICA INSURANCE COMPANY | 31 | $79K |
| Life insurance | SUN LIFE AND HEALTH INSURANCE COMPANY | 1,934 | $46K |
| Other | SUN LIFE AND HEALTH INSURANCE COMPANY | 1,934 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,934 | — |
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.