| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY0 Filed as: THE SEGAL COMPANY (EASTERN STATES) | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $3K | — | $3K | 1.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 NONE | Contract Administrator; Other services; Claims processing; Other commissions Service code 12 | — | $520K |
| PAYDHEALTH LLC EIN 84-2853707 NONE | Other services Service code 49 | — | $298K |
| TIM MORRIN EIN 36-2242666 PLAN ADMINISTRATOR | Employee (plan); Plan Administrator Service code 14 | — | $264K |
| MAXORPLUS, LTD. EIN 75-2676894 NONE | Float revenue; Other fees; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $210K |
| KELLY LAVKO EIN 36-2242666 EMPLOYEE | Employee (plan) Service code 30 | — | $190K |
| HINES & ASSOCIATES EIN 36-3545085 NONE | Other services Service code 49 | — | $170K |
| CATHERINE HUMMER EIN 36-2242666 EMPLOYEE | Employee (plan) Service code 30 | — | $132K |
| INCLUDED HEALTH, INC. EIN 45-3580052 NONE | Other services Service code 49 | — | $128K |
| ERICA VEUGELER EIN 36-2242666 EMPLOYEE | Employee (plan) Service code 30 | — | $122K |
| VIVEKA HEALTH, INC. EIN 86-2467157 NONE | Other services Service code 49 | — | $118K |
| BYRNE SOFTWARE TECHNOLOGY EIN 43-1853340 NONE | Consulting (general) Service code 16 | — | $112K |
| MARY MITCHELL EIN 36-2242666 EMPLOYEE | Employee (plan) Service code 30 | — | $103K |
| O'DONOGHUE & O'DONOGHUE EIN 53-0120528 NONE | Other services; Legal Service code 29 | — | $93K |
| NATIONAL INVESTMENT SERVICES, INC. EIN 84-3937993 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $64K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial; Consulting (general) Service code 11 | — | $53K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Other services; Accounting (including auditing) Service code 10 | — | $51K |
| LASALLE CONSULTING PARTNERS EIN 36-4030449 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $49K |
| PIVOT HEALTH TECHNOLOGIES, INC. EIN 20-0566400 NONE | Other services Service code 49 | — | $46K |
| SSDC SERVICES CORP. EIN 38-3357459 NONE | Participant communication; Other services Service code 38 | — | $44K |
| HINGE HEALTH EIN 81-1884841 NONE | Other services Service code 49 | — | $38K |
| WELLRITHMS EIN 46-3312269 NONE | Other services Service code 49 | — | $34K |
| JOHNSON & KROL EIN 36-4342024 NONE | Legal Service code 29 | — | $33K |
| STRATEGIC CAPITAL INVESTMENT ADVISO EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $30K |
| EMPLOYEE RESOURCE SYSTEMS EIN 36-3867645 NONE | Other services Service code 49 | — | $23K |
| ZELIS EIN 84-3069529 NONE | Other fees; Other services Service code 49 | — | $22K |
| ABSOLUTE SOLUTIONS, LLC EIN 27-3584158 NONE | Other services Service code 49 | — | $21K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Trustee (bank, trust company, or similar financial institution); Float revenue; Other investment fees and expenses Service code 21 | — | $16K |
| DATAMATION EIN 36-4303011 NONE | Other services Service code 49 | — | $12K |
| EYEMED EIN 86-0773195 NONE | Claims processing Service code 12 | — | $9K |
| WINDY CITY NETWORKS, INC. EIN 27-1680662 NONE | Consulting (general) Service code 16 | — | $9K |
| EMPOWER HEALTH SERVICES EIN 36-4836722 NONE | Other services Service code 49 | — | $8K |
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 | 985 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 593 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,578 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HUMANA INSURANCE COMPANY | 690 | $2.2M |
| Vision | AMERITAS LIFE INSURANCE CORP. | 1,533 | $70K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 1,153 | $133K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,072 | $212K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 1,153 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,533 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.