Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthPPO | HealthPPO | |
RxOther | RxOther | |
Stop-lossLife | Stop-lossLife |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 4 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 885 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 229 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,114 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 2,256 | $9.5M |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 882 | $34K |
| Prescription drug | MG INSURANCE COMPANY | 294 | $738K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 921 | $595K |
| Other | MG INSURANCE COMPANY | 294 | $738K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,256 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| QUAD CITY BANK AND TRUST EIN 42-1410409 NONE | Direct payment from the plan; Custodial (securities); Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $119K |
| EMPLOYEE 1 EIN 36-2525679 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $66K |
| EMPLOYEE 2 EIN 36-2525679 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| AHI/RJ LEE & ASSOCIATES EIN 36-4090984 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $64K |
| EMPLOYEE 3 EIN 36-2525679 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| HIPPVINCI, INC DBA TELLIGEN EIN 33-2157812 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $57K |
| ROMOLO & ASSOCIATES, CPA'S, LLC EIN 84-2885766 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $33K |
| MCCARTHY CALLAS & FEENEY PC EIN 36-4184033 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| UNITED ACTUARIAL SERVICES INC EIN 35-2156428 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $9K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025