No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| A&A DRUG CO. DBA SAV-RX EIN 86-1323040 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $2.0M |
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Contract Administrator; Other services; Claims processing; Direct payment from the plan Service code 12 | — | $427K |
| WESTWIND CONCEPTS EIN 36-3992116 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $109K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $96K |
| MACNELL ACCOUNTING & CONSULTING EIN 30-0510353 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $81K |
| OFELIA CORREA EIN 36-2272414 EMPLOYEE | Employee (plan) Service code 30 | — | $66K |
| CJBS, LLC EIN 36-3524803 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $66K |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $54K |
| MCGANN KETTERMAN & RIOUX, LTD EIN 36-3968279 NONE | Legal; Direct payment from the plan Service code 29 | — | $50K |
| ASTRACOM SOLUTIONS INC. EIN 37-1429924 NONE | Other services; Direct payment from the plan Service code 49 | — | $48K |
| INETICO D.B.A. VALENZ CARE EIN 36-4869660 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $40K |
| TOM BOEHM EIN 36-2272414 EMPLOYEE | Employee (plan) Service code 30 | — | $38K |
| MARILYN GOMEZ EIN 36-2272414 EMPLOYEE | Employee (plan) Service code 30 | — | $34K |
| MARIBEL GOMEZ EIN 36-2272414 EMPLOYEE | Employee (plan) Service code 30 | — | $28K |
| LANER MUCHIN LTD. EIN 36-3088463 NONE | Legal; Direct payment from the plan Service code 29 | — | $28K |
| GUADALUPE RUIZ EIN 36-2272414 EMPLOYEE | Employee (plan) Service code 30 | — | $26K |
| MITTERA CHICAGO NONE | Direct payment from the plan; Copying and duplicating Service code 36 | P.O. BOX 310471 DES MOINES, IA 503310471 | $19K |
| INFORMATION SYSTEMS ENGINEERING EIN 39-1497970 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| UNITED SOFTWARE SYSTEMS INC EIN 59-1918677 NONE | Direct payment from the plan; Other services Service code 49 | — | $12K |
| DENTAL NETWORK OF AMERICA, LLC EIN 36-3339483 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $10K |
| IMAGING OFFICE SYSTEMS, INC. EIN 35-1287032 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| FIRST AMERICAN PRIME OBLIGATION 1 | Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $0 |
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 | 982 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 35 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,017 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HEALTH CARE SERVICES CORP. | 14 | $14K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 923 | $53K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 923 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 923 | — |
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.