No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH CARE SERVICES CORP (BC/BS) EIN 36-1236610 NONE | Claims processing Service code 12 | 300 E RANDOLPH ST CHICAGO, IL 60601 | $927K |
| CERNER CORPORATION NONE | Other services Service code 49 | 2800 ROCKCREEK PARKWAY NORTH KANSAS CITY, MO 64117 | $624K |
| EXPRESS SCRIPTS, INC EIN 43-1420563 NONE | Claims processing Service code 12 | 1 EXPRESS WAY ST. LOUIS, MO 63121 | $255K |
| UNION EYES NONE | Claims processing Service code 12 | 3460 S HALSTED ST CHICAGO, IL 60608 | $201K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | 101 N WACKER DR., STE 500 CHICAGO, IL 60606 | $171K |
| BRIAN DOXIE EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $136K |
| BAUM SIGMAN AUERBACH & NEUMAN EIN 36-2744057 NONE | Legal Service code 29 | 200 W ADAMS ST., SUITE 2200 CHICAGO, IL 60606 | $120K |
| ERNESTINE GARWACKI EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $105K |
| KELLIE COLLINS-TITTLE EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $100K |
| JENNIFER WINGSTEDT EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $100K |
| INNOVATIVE SOFTWARE SOLUTIONS INC. EIN 23-2182079 NONE | Consulting (general) Service code 16 | TWO EXECUTIVE CAMPUS, STE. 400 CHERRY HILL, NJ 08002 | $91K |
| KATIE EBY EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $85K |
| SAGE ADVISORY SERVICES EIN 74-2798841 NONE | Investment management Service code 28 | 5900 SOUTHWEST PARKWAY, BDG I, STE AUSTIN, TX 78735 | $78K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | 230 W MONROE, STE 310 CHICAGO, IL 60606 | $52K |
| MORGAN STANLEY/GRAYSTONE EIN 26-4310632 NONE | Consulting fees; Investment advisory (plan); Custodial (securities) Service code 19 | 800 EAST 96TH STREET SUITE 400 INDIANAPOLIS, IN 46240 | $48K |
| MEDCARE MANAGEMENT EIN 88-0429522 NONE | Other services Service code 49 | 2090 PALM BEACH LAKES BLVD, STE 900 WEST PALM BEACH, FL 33409 | $45K |
| DENISE BINGHAM EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $33K |
| BOND BROTHERS EIN 36-2433269 NONE | Copying and duplicating Service code 36 | 7826 47TH ST. LYONS, IL 60534 | $32K |
| EMPLOYEE RESOURCE SYSTEMS EIN 36-3867645 NONE | Consulting (general) Service code 16 | 29 E. MADISON ST., STE 1600 CHICAGO, IL 60602 | $31K |
| DIANE PACHOLIK EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $28K |
| DIANE HERDA EIN 36-2356062 EMPLOYEE | Employee (plan) Service code 30 | 205 ALEXANDRA WAY CAROL STREAM, IL 60188 | $26K |
| DENTAL NETWORK OF AMERICA EIN 36-3339483 NONE | Claims processing Service code 12 | 300 E RANDOLPH ST CHICAGO, IL 60601 | $16K |
| ABSOLUTE SOLUTIONS NONE | Other services Service code 49 | 2863 W 95TH STREET NAPERVILLE, IL 60564 | $12K |
| MORGAN BIRGE & ASSOC NONE | Consulting (general) Service code 16 | 119 W HUBBARD ST CHICAGO, IL 60654 | $11K |
| GREGORIO, STEC, KLEIN & HOSE NONE | Legal Service code 29 | TWO N. LASALLE STREET CHICAGO, IL 60602 | $11K |
| DATAMATION NONE | Copying and duplicating Service code 36 | 7700 GRIFFIN WAY WILLOWBROOK, IL 60527 | $10K |
| EYE MED EIN 31-1656473 NONE | Claims processing Service code 12 | 4000 LUXOTTICA PLACE MASON, OH 45040 | $6K |
| ONWORD HEALTHCARE CONSULTING EIN 35-2624381 NONE | Consulting (general) Service code 16 | 2132 W WARNER AVE CHICAGO, IL 60618 | $6K |
| COMERICA EIN 42-1741646 NONE | Custodial (securities) Service code 19 | 411 W. LAFAYETTE AVE DETROIT, MI 48226 | $2K |
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 | 1,235 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 648 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,883 | 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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.