No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing Service code 12 | — | $2.8M |
| BLUE CROSS BLUE SHIELD OF IL EIN 36-1236610 NONE | Other insurance fees and expenses; Contract Administrator; Claims processing Service code 12 | — | $513K |
| GROUP ADMINSITRATORS, LTD. EIN 36-3381052 NONE | Claims processing Service code 12 | — | $393K |
| HINES & ASSOCIATES, INC. EIN 36-3545085 NONE | Other services Service code 49 | — | $146K |
| SPECTERA, INC. EIN 52-1260282 NONE | Contract Administrator Service code 13 | — | $134K |
| SHELLI MCPEEK EIN 36-2265130 EMPLOYEE | Employee (plan); Plan Administrator Service code 14 | — | $84K |
| THE SEGAL COMPANY (MIDWEST) INC EIN 13-1975125 NONE | Actuarial; Consulting fees Service code 11 | — | $74K |
| HOLSTROM KENNEDY PC EIN 36-3948759 NONE | Legal Service code 29 | — | $61K |
| ROBIN DARBY EIN 36-2265130 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| RICHARD J. WOLF & COMPANY, INC. EIN 36-3182363 NONE | Accounting (including auditing) Service code 10 | — | $35K |
| DELTA DENTAL OF ILLINOIS EIN 36-2612058 NONE | Claims processing Service code 12 | — | $31K |
| WILLIAMS & MCCARTHY, LLP EIN 20-5568874 NONE | Legal Service code 29 | — | $30K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| MEDICAL COST MANAGEMENT CORP. NONE | Other services Service code 49 | 200 W. MONROE CHICAGO, IL 60606 | $27K |
| SAM GIARDONO EIN 36-2265130 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
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 | 1,216 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 389 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,605 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,324 | $179K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 375 | $728K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,170 | $721K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,324 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,324 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.