No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS CLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing; Contract Administrator Service code 12 | 300 EAST RANDOLPH STREET CHICAGO, IL 60601 | $4.5M |
| ALIGHT SOLUTIONS LLC EIN 82-1061233 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | $2.3M |
| WILLIS TOWERS WATSON EIN 23-1159360 NONE | Actuarial; Consulting (general); Consulting fees Service code 11 | 901 NORTH GLEBE ROAD ARLINGTON, VA 22203 | $494K |
| BANK OF AMERICA, N.A. EIN 94-1687665 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | 150 N. COLLEGE ST NCI-028-17-016 CHARLOTTE, NC 28255 | $216K |
| THE JELLYVISION LAB, INC EIN 36-4442819 NONE | Other services Service code 49 | 848 W. EASTMAN ST SUITE 104 CHICAGO, IL 60642 | $202K |
| MILLIMAN EIN 91-0675641 NONE | Consulting (pension); Actuarial; Consulting (general) Service code 11 | 200 GREAT POND DRIVE SUITE 100 WINDSOR, CT 06095 | $90K |
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 | 7,606 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 127 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,733 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SEE ATTACHED | 0 | $6.3M |
| Dental | SEE ATTACHED | 0 | $6.3M |
| Vision | SEE ATTACHED | 0 | $6.3M |
| Prescription drug | SEE ATTACHED | 0 | $6.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.