| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED | 8605 BROADWAY, STE A MERRILLVILLE, IN 464107033 | HUMANA INSURANCE COMPANY | $50K | — | $50K | 2.91% |
| MEYERS GLAROS GROUP LLC Filed as: MEYERS GLAROS LLC | 8605 BROADWAY MERRILLVILLE, IN 464107033 | HUMANA INSURANCE COMPANY | $28K | — | $28K | 1.61% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL MIDWEST LTD | 1591 GALBRAITH AVE SE GRAND RAPIDS, MI 495466453 | HUMANA INSURANCE COMPANY | $6K | — | $6K | 0.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVERSIDE HEALTH LLC EIN 45-3449075 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.3M |
| AETNA EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $556K |
| TIC MIDWEST LLC EIN 13-2600875 NONE | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Plan Administrator Service code 10 | — | $147K |
| MEYERS GLAROS LLC NONE | Other services Service code 49 | 8605 BROADWAY MERRIVILLE, IN 46410 | $100K |
| MAY OBERFELL LORBER EIN 35-0914880 NONE | Legal; Direct payment from the plan Service code 29 | — | $91K |
| SCREENSAFE, INC NONE | Direct payment from the plan; Other services Service code 49 | 2708 CATON RD JOLIET, IL 60435 | $88K |
| NEW AVENUES INC NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 260 SOUTH BEND, IN 46624 | $29K |
| BENDA, GRACE, STULZ & COMPANY P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $22K |
| FOSTER & FOSTER NONE | Actuarial; Direct payment from the plan Service code 11 | 184 SHUMAN BLVD, STE 305 NAPERVILLE, IL 60563 | $8K |
| MACQUIRE INVESTMENT MGMT | Investment management; Direct payment from the plan Service code 28 | 2005 MARKET STREET PHILADELPHIA, PA 19103 | $0 |
| MORGAN STANLEY SMITH BARNEY LLC EIN 26-4310632 5000 | Direct payment from the plan; Investment advisory (plan); Other investment fees and expenses Service code 27 | — | $0 |
| SEMMA HEALTH | Legal; Direct payment from the plan Service code 29 | E WAYNE STREET, STE 400 SOUTH BEND, IN 46601 | $0 |
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 | 1,234 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 328 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,562 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | STEALTH PARTNER GROUP | 1,174 | $475K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,174 | — |
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.