| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 Filed as: HORTON GROUP INC - ORLAND PARK | 10320 ORLAND PKWY ORLAND PARK, IL 604675627 | HUMANA INSURANCE COMPANY | $141K | — | $141K | 4.40% |
| THE SEGAL COMPANY3 Filed as: SEGAL CO MIDWEST INC THE | 7701 FRANCE AVE S STE 225 EDINA, MN 554355288 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 0.03% |
| THE HORTON GROUP3 Filed as: HORTON GROUP INC - ORLANDO PARK | 10320 ORLAND PKWY ORLAND PARK, IL 604675627 | HUMANA INSURANCE COMPANY | $459 | — | $459 | 5.49% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DC PENSION PLAN OF IW BENEFIT TRUST EIN 31-0557391 PARTICIPATING EMP. ORG. | Employee (plan sponsor) Service code 35 | — | $713K |
| AETNA BEHAVIORAL HEALTH, LLC NONE | Insurance services; Direct payment from the plan Service code 23 | 151 FARMINGTON AVENUE RSAAA HARTFORD, CT 06156 | $564K |
| COMMUNITY INSURANCE EIN 31-1440175 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing Service code 12 | — | $265K |
| PRUDENT RX NONE | Insurance services; Direct payment from the plan Service code 23 | 3820 NORTHDALE BLVD., STE. 311-4 TAMPA, FL 33624 | $231K |
| FAULKNER, HOFFMAN & PHILLIPS EIN 34-1909706 NONE | Shareholder servicing fees; Direct payment from the plan Service code 50 | — | $219K |
| CVS/CAREMARK NONE | Contract Administrator; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | ONE CVS DRIVE WOODSOCKET, RI 02895 | $131K |
| DELTA DENTAL NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | P.O. BOX 9085 FARMINGTON HILLS, MI 483339085 | $121K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $84K |
| BROUSE MCDOWELL, LPA EIN 34-1108723 NONE | Legal; Direct payment from the plan Service code 29 | — | $80K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $73K |
| IDWC OF SO PENSION TRUST EIN 31-6038516 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $72K |
| THE HORTON GROUP EIN 36-3672171 NONE | Other services; Direct payment from the plan Service code 49 | — | $60K |
| ROETZEL & ANDRESS LPA EIN 34-1245415 NONE | Direct payment from the plan; Other services Service code 49 | — | $50K |
| VOLO TECHNOLOGIES NONE | Other services; Direct payment from the plan Service code 49 | 400 PLAZA DR., #150 FOLSOM, CA 95630 | $43K |
| PITNEY BOWES GLOBAL FINANCIAL NONE | Other services; Direct payment from the plan Service code 49 | 3001 SUMMER ST. STAMFORD, CT 06905 | $31K |
| US BANK NONE | Shareholder servicing fees; Custodial (securities); Accounting (including auditing); Other fees; Direct payment from the plan Service code 10 | 800 NICOLETT MALL MINNEAPOLIS, MN 55402 | $29K |
| SEGAL EIN 13-1975125 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $28K |
| TOBE LAWN CARE, LLC EIN 20-8222472 NONE | Direct payment from the plan; Other services Service code 49 | — | $23K |
| MODERN SERVICES, INC EIN 61-1695732 NONE | Direct payment from the plan; Other services Service code 49 | — | $20K |
| DATAMATION IMAGING SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 7700 GRIFFIN WAY B WILLOWBROOK, IL 60527 | $16K |
| QUALITY PUBLISHING COMPANY EIN 31-0792584 NONE | Direct payment from the plan; Other services Service code 49 | — | $16K |
| OVERMYER HALL ASSOCIATES EIN 27-2481536 NONE | Insurance agents and brokers; Insurance services; Direct payment from the plan Service code 22 | — | $15K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $14K |
| AES OHIO/DP&L INC. EIN 31-0258470 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| CARRIER CORPORATION EIN 06-0991716 NONE | Direct payment from the plan; Other services Service code 49 | — | $12K |
| NEPHOX, LLC EIN 87-4119828 NONE | Other services; Direct payment from the plan Service code 49 | — | $10K |
| JOHNSON CONTROLS SECURITY SOLUTIONS NONE | Direct payment from the plan; Other services Service code 49 | 6600 CONGRESS AVE. BOCA RATON, FL 33487 | $9K |
| ACRISURE MID-ATLANTIC EIN 92-3652116 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| COWDEN ASSOCIATES, INC. EIN 25-1750131 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| BUCK RUN COMMERICAL DOOR EIN 31-1681003 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| ADP NONE | Direct payment from the plan; Other services Service code 49 | 1 ADP BLVD ROSELAND, NJ 07068 | $7K |
| BARRYSTAFF INC. EIN 31-1757788 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| CITY OF VANDALIA NONE | Direct payment from the plan; Other services Service code 49 | 333 JAMES E BOHANAN DRIVE VANDALIA, OH 45377 | $7K |
| NEXTIVA NONE | Direct payment from the plan; Other services Service code 49 | 9451 EAST VIA DE VENTURA SCOTTSDALE, AZ 85256 | $7K |
| SEGAL BENZ EIN 13-1975125 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
| US BANK EQUIPMENT FINANCE NONE | Direct payment from the plan; Other services Service code 49 | 800 NICOLLET MALL MINNEAPOLIS, MN 55402 | $6K |
| NORTHERN TRUST EIN 36-1561860 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $6K |
| FRIENDS OFFICE EIN 34-1690683 NONE | Other services; Direct payment from the plan Service code 49 | — | $5K |
| ANCHOR COMPUTER SOFTWARE EIN 75-2843811 NONE | Direct payment from the plan; Other services Service code 49 | — | $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 | 3,615 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,710 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,325 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HUMANA INSURANCE COMPANY | 1,468 | $3.2M |
| Vision | VISION SERVICE PLAN | 3,538 | $402K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 5,581 | $721K |
| Stop-loss / reinsurancereinsurance | BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY | 3,816 | $2.0M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,294 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,581 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.