No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ELECTRICAL INSURANCE TRUSTEES EIN 36-1033970 COMMON TRUSTEES | Plan Administrator Service code 14 | — | $192K |
| BLUE CROSS/BLUE SHIELD EIN 36-1236610 NONE | Claims processing; Other fees Service code 12 | — | $155K |
| PREMISE HEALTH SYSTEMS, INC EIN 23-3057155 NONE | Contract Administrator Service code 13 | — | $57K |
| CAREMARK PCS HEALTH LLC EIN 05-0340626 NONE | Contract Administrator Service code 13 | — | $37K |
| CORVEL CORPORATION EIN 95-3382819 NONE | Contract Administrator Service code 13 | — | $9K |
| GREAT LAKES ADVISORS, INC. EIN 80-0292839 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $8K |
| WASHINGTON CAPITAL MANAGEMENT EIN 47-2614791 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $6K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $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 | 314 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 0 | $11K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 0 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.