No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing; Contract Administrator Service code 12 | 300 EAST RANDOLPH STREET CHICAGO, IL 60601 | $4.2M |
| 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 |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Contract Administrator; Claims processing Service code 12 | ONE EXPRESS WAY SAINT LOUIS, MO 63121 | $1.3M |
| INCLUDED HEALTH EIN 45-3580052 NONE | Other services Service code 49 | 1 CALIFORNIA STREET SUITE 2300 SAN FRANCISC, CA 94111 | $1.0M |
| WILLIS TOWERS WATSON EIN 23-1159360 NONE | Actuarial; Consulting (general); Consulting fees Service code 11 | 901 NORTH GLEBE ROAD ARLINGTON, VA 22203 | $263K |
| THE JELLYVISION LAB, INC EIN 36-4442819 NONE | Participant communication Service code 38 | 848 W. EASTMAN ST SUITE 104 CHICAGO, IL 60642 | $213K |
| ACCESSHOPE, LLC EIN 84-2818450 NONE | Other services Service code 49 | 1500 EAST DUARTE ROAD DUARTE, CA 91010 | $73K |
| MCDONALD'S CORPORATION EIN 36-2361282 SAME | Plan Administrator Service code 14 | 110 N. CARPENTER ST CHICAGO, IL 60607 | $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 | 7,212 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 172 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,384 | 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.