No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KATHY KRUEGER EIN 54-2117113 ADMINISTRATOR | Plan Administrator Service code 14 | — | $65K |
| LEGACY PROFESSIONALS EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $14K |
| MARC M PEKAY EIN 36-3379057 NONE | Legal Service code 29 | — | $6K |
| AMALGAMATED BANK EIN 36-0721895 NONE | Account maintenance fees; Float revenue; Custodial (other than securities) Service code 18 | — | $832 |
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 | 45 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 49 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 91 | $701K |
| Dental | DELTA DENTAL OF ILLINOIS | 14 | $11K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 6 | $554 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 91 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.