No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS/BLUE SHIELD OF IL EIN 36-1236610 NONE | Claims processing Service code 12 | 300 EAST RANDOLPH CHICAGO, IL 60601 | $607K |
| ZENITH ADMINISTRATORS EIN 52-1590516 NONE | Plan Administrator Service code 14 | 18861 90TH AVENUE SUITE A MOKENA, IL 60448 | $480K |
| ARNOLD & KADJAN EIN 36-2498571 NONE | Legal Service code 29 | 203 N. LASALLE SUITE 1650 CHICAGO, IL 60601 | $153K |
| FUTURE DIAGNOSTICS GROUP, LLC EIN 36-4454451 NONE | Other services Service code 49 | 245 REPUBLIC AVE. JOLIET, IL 60435 | $127K |
| SAV RX EIN 47-0527013 NONE | Claims processing Service code 12 | 224 NORTH PARK AVENUE FREMONT, NE 68025 | $104K |
| TFBC NONE | Actuarial Service code 11 | 2 MID AMERICA PLAZA OAKBROOK TERRACE, IL 60181 | $63K |
| INCOME RESEARCH & MGMT EIN 04-2955404 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 100 FEDERAL STREET 33RD FLOOR BOSTON, MA 02110 | $62K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | 230 W MONROE ST., SUITE 310 CHICAGO, IL 60661 | $44K |
| MED CARE MANAGEMENT EIN 63-1199804 NONE | Other services Service code 49 | 24513 CUSTIS ROAD SOUTHFIELD, MI 48075 | $42K |
| EMPLOYEE RESOURCE SYSTEMS EIN 36-3867645 NONE | Consulting (general) Service code 16 | 29 EAST MADISON SUITE 1600 CHICAGO, IL 60602 | $40K |
| VISION SERVICE PLAN EIN 20-0891619 NONE | Claims processing Service code 12 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | $33K |
| BMO HARRIS BANK EIN 36-2085229 NONE | Trustee (bank, trust company, or similar financial institution); Custodial (securities) Service code 19 | 111 WEST MONROE STREET CHICAGO, IL 60603 | $32K |
| GREENBERG TRAURIG LLP NONE | Legal Service code 29 | 77 WEST WACKER DRIVE SUITE 3100 CHICAGO, IL 60601 | $30K |
| NATIONAL INVESTMENT SERVICES EIN 80-0169636 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 777 EAST WISCONSIN AVENUE SUITE 23 MILWAUKEE, WI 53202 | $25K |
| RICHARD J WOLF & COMPANY NONE | Accounting (including auditing) Service code 10 | 10120 E. TANGLEWOOD CIRCLE PALOS PARK, IL 60464 | $22K |
| DENTAL NETWORK OF AMERICA NONE | Claims processing Service code 12 | 701 E. 22ND STREET, SUITE 300 LOMBARD, IL 60148 | $18K |
| MARQUETTE AND ASSOCIATES NONE | Investment advisory (plan) Service code 27 | 180 N. LASALLE ST., SUITE 3500 CHICAGO, IL 60601 | $14K |
| TASC NONE | Claims processing Service code 12 | 2302 INTERNATIONAL LN MADISON, WI 53704 | $11K |
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 | 961 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 589 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,550 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,518 | $297K |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,094 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,518 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.