| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AEGIS ADMINISTRATIVE SERVICES5 | 6970 W. DIVERSEY AVE. CHICAGO, IL 60707 | MEDICAL EXCESS | $295K | — | $295K | 9.99% |
| AEGIS ADMINISTRATIVE SERVICES5 | 6970 W. DIVERSEY AVE. CHICAGO, IL 60707 | MEDICAL EXCESS | $295K | — | $295K | 9.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AEGIS ADMINSTRATIVE SERVICES, INC. EIN 04-3701774 NONE | Contract Administrator Service code 13 | — | $1.7M |
| CIGNA HEALTH & LIFE INSURANCE COM NONE | Claims processing; Contract Administrator; Participant communication Service code 12 | 525 WEST MONROE STREET CHICAGO, IL 60661 | $624K |
| HEALTHCARE SERVICE CORPORATION EIN 36-1236610 NONE | Other insurance fees and expenses; Claims processing; Participant communication Service code 12 | — | $340K |
| OGLETREE DEAKINS NASH SMOAK&STEWART EIN 57-1044820 NONE | Legal Service code 29 | — | $274K |
| VOLTAIRE HEALTH, LLC EIN 46-2047081 NONE | Other services Service code 49 | — | $74K |
| NOBLE CONSULTING GROUP EIN 36-4362019 AFFILIATE OF AEGIS ADMIN | Consulting fees Service code 70 | — | $66K |
| LEGACY PROFESSIONALS, LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $30K |
| SPECIALTY CARE MANAGEMENT, LLC NONE | Other services Service code 49 | P.O. BOX 732 LAHASKA, PA 18931 | $28K |
| CJBS, LLC EIN 36-3524803 NONE | Accounting (including auditing) Service code 10 | — | $18K |
| AEGIS COST CONTAINMENT SOLUTIONS EIN 47-2286199 NONE | Other services Service code 49 | — | $17K |
| MACNELL ACCOUNTING AND CONSULTING EIN 30-0510353 NONE | Accounting (including auditing) Service code 10 | — | $15K |
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 | 2,239 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,239 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.