Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
LifeLTDOther | LifeLTDOther | |
HealthRxDentalHMOPPO | HealthRxDentalHMOPPO |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 30,341 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 337 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 274 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 30,952 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION A MUTUAL LEGAL RESERVE CORP | 30,952 | $0 |
| Dental | HEALTH CARE SERVICE CORPORATION A MUTUAL LEGAL RESERVE CORP | 30,952 | $0 |
| Life insurance | DEARBORN NATIONAL LIFE | 30,952 | $18.7M |
| Long-term disability | DEARBORN NATIONAL LIFE | 30,952 | $18.7M |
| Prescription drug | HEALTH CARE SERVICE CORPORATION A MUTUAL LEGAL RESERVE CORP | 30,952 | $0 |
| Other | DEARBORN NATIONAL LIFE | 30,952 | $18.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 30,952 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MOBE SERVICE PROVIDER | Employee (plan) Service code 30 | 3701 WAYZATA BLVD SUITE 450 MINNEAPOLIS, MN 55416 | $9.1M |
| ALIGHT SERVICE PROVIDER | Employee (plan) Service code 30 | 4 OVERLOOK POINT #40P LINCOLNSHIRE, NE 60069 | $1.0M |
| MDX MEDICAL SERVICE PROVIDER | Employee (plan) Service code 30 | 160 CHUBB STREET SUITE 301 LYNDHURST, NJ 07071 | $558K |
| COMPSYCH SERVICE PROVIDER | Employee (plan) Service code 30 | 455 N CITYFRONT PLAZA DR NBC TOWER 13TH FLOOR CHICAGO, IL 60611 | $520K |
| JELLY VISION SERVICE PROVIDER | Employee (plan) Service code 30 | 848 W EAST MAIN CHICAGO, IL 60624 | $153K |
| RETHINK AUTISM SERVICE PROVIDER | Employee (plan) Service code 30 | 49 WEST 27TH STREET 8TH FLOOR NEW YORK, NY 10001 | $98K |
| PREMISE HEALTH SERVICE PROVIDER | Employee (plan) Service code 30 | 5500 MARYLAND WAY SUITE 120 BRENTWOOD, TN 37027 | $74K |
| TALX SERVICE PROVIDER | Employee (plan) Service code 30 | 11432 LACKLAND ROAD ST LOUSE, MO 63146 | $62K |
| BENEFIT FOCUS SERVICE PROVIDER | Employee (plan) Service code 30 | 100 BENEFIT FOCUS WAY CHARLESTON, SC 29492 | $15K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
5 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025