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 pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: The Segal Company HealthPPO | HealthPPO | |
Life | Life | |
Stop-loss | Stop-loss |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 6 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 | 6,962 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,108 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 11,070 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 5,236 | $19.6M |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 10,094 | $2.2M |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 161 | $316K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,094 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: Humana Insurance Company | |
Carrier: Humana Insurance Company of New York |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MARATHON HEALTH LLC EIN 26-0103977 NONE | Other services Service code 49 | — | $4.4M |
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Other insurance fees and expenses; Contract Administrator Service code 13 | — | $3.1M |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Contract Administrator Service code 13 | — | $2.8M |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $381K |
| BRIDGEWAY BENEFIT TECHNOLOGIES LLC EIN 52-1796473 NONE | Other services; Other commissions Service code 49 | — | $338K |
| NATIONAL INVESTMENT SERVICES, INC. EIN 84-3937993 NONE | Investment management Service code 28 | — | $337K |
| RX SAVINGS SOLUTIONS EIN 26-3642434 NONE | Other services Service code 49 | — | $250K |
| DELTA DENTAL OF IL EIN 36-2612058 NONE | Contract Administrator Service code 13 | — | $230K |
| JOHNSON & KROL, LLC EIN 36-4342024 NONE | Legal Service code 29 | — | $203K |
| KEPRO NONE | Other services Service code 49 | 777 EAST PARK DRIVE HARRISBURG, PA 17111 | $191K |
| KATIE COLBERT EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $172K |
| NICHOLE LINHARDT EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $150K |
| CATHERINE TYREE EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $146K |
| ZELIS PAYMENTS HOLDING, LLC EIN 84-3069529 NONE | Claims processing Service code 12 | — | $139K |
| COLLEEN MORIARTY EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $135K |
| JUAN GARCIA-PEREZ EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $116K |
| SILVIA MORENO EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $104K |
| SHEILA JACKSON EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $100K |
| COLETTE AZZARO EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $95K |
| CARLY FLAHERTY EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $92K |
| CASSANDRA TYREE EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $79K |
| GREEN LIGHT EIN 45-5248276 NONE | Other services Service code 49 | — | $66K |
| DANA GARRETT EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $57K |
| WEX HEALTH INC. EIN 06-1593514 NONE | Contract Administrator; Other insurance fees and expenses Service code 13 | — | $51K |
| EYEMED VISION CARE EIN 31-1656473 NONE | Contract Administrator Service code 13 | — | $49K |
| ALEXIS TONNE EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| ANGIE HINOJOSA EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $42K |
| BOND BROTHERS EIN 36-2433269 NONE | Other services Service code 49 | — | $41K |
| SINGLE CLICK IT EIN 81-1338818 NONE | Other services Service code 49 | — | $39K |
| MICHELLE STRIMAITIS EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $38K |
| STRATEGIC CAPITAL INVESTMENT ADV. EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $38K |
| MORGAN, LEWIS & BOCKIUS LP EIN 23-0891050 NONE | Legal Service code 29 | — | $37K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial; Insurance brokerage commissions and fees Service code 11 | — | $36K |
| KAITLYN SHEEHAN EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $36K |
| MARY BETH TYTUS EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $36K |
| JANNA COLLINS EIN 36-2141703 EMPLOYEE | Employee (plan) Service code 30 | — | $25K |
| PITNEY BOWES INC. NONE | Other services Service code 49 | 205 N MICHIGAN AVE 300 CHICAGO, IL 60601 | $24K |
| BERGLUND CONSTRUCTION EIN 36-2058060 NONE | Other services Service code 49 | — | $21K |
| MIDWEST EMPLOYEE BENEFIT FUNDS NONE | Other services Service code 49 | 6170 JOLIET ROAD, SUITE 2 COUNTRYSIDE, IL 60525 | $14K |
| COMERICA BANK EIN 42-1741646 NONE | Custodial (securities); Investment management fees paid directly by plan; Other investment fees and expenses Service code 19 | — | $14K |
| NORTHERN TRUST CORPORATION EIN 36-2723087 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $11K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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.
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11 filings · 2015 to 2025