| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PKWY 300 DEER PARK, IL 60010 | LIFE INSURANCE COMPANY OF AMERICA | $61K | $0 | $61K | 15.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PKWY 300 DEER PARK, IL 60010 | LIFE INSURANCE COMPANY OF AMERICA | $35K | $0 | $35K | 15.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PKWY 300 DEER PARK, IL 60010 | CIGNA HEALTH AND LIFE INSURANCE COMPANIES AND AFFILIATES | $12K | $0 | $12K | 13.75% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PKWY 300 DEER PARK, IL 60010 | CIGNA HEALTH AND LIFE INSURANCE COMPANIES AND AFFILIATES | $10K | $0 | $10K | 13.74% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PKWY 300 DEER PARK, IL 60010 | CIGNA HEALTH AND LIFE INSURANCE COMPANIES AND AFFILIATES | $10K | $0 | $10K | 13.77% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PKWY 300 DEER PARK, IL 60010 | LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 15.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST INC | 200 LIBERTY STREET NEW YORK, NY 10281 | FEDERAL INSURANCE COMPANY (CHUBB) | $5K | — | $5K | 25.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CLAIM ADMINISTRATOR | Direct payment from the plan; Float revenue; Contract Administrator; Non-monetary compensation; Claims processing; Named fiduciary; Participant communication; Other services Service code 12 | — | $1.1M |
| EVERNORTH CARE SOLUTIONS EIN 86-1465626 EAP PLAN ADMIN | Participant communication; Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $30K |
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 | 1,529 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANIES AND AFFILIATES | 3,360 | $2.1M |
| Life insurance | LIFE INSURANCE COMPANY OF AMERICA | 0 | $233K |
| Long-term disability | LIFE INSURANCE COMPANY OF AMERICA | 0 | $405K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANIES AND AFFILIATES | 3,360 | $2.1M |
| Other(12 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF AMERICA | 0 | $521K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,360 | — |
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."
No prospect flags tripped on this filing.