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 |
|---|---|---|---|
| BLUE CROSS/BLUE SHIELD EIN 36-1236610 NONE | Plan Administrator; Claims processing Service code 12 | 300 EAST RANDOLPH CHICAGO, IL 60601 | $955K |
| CERNER CORPORATION NONE | Plan Administrator; Claims processing Service code 12 | P.O. BOX 959156 ST LOUIS, MO 63195 | $695K |
| BENEFITS MANAGEMENT GROUP EIN 20-0188125 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 903 COMMERCE DRIVE, SUITE 304 OAKBROOK, IL 60523 | $330K |
| UNION EYES NONE | Claims processing; Plan Administrator Service code 12 | 3460 S HALSTED ST CHICAGO, IL 60608 | $167K |
| SAV-RX EIN 47-0527013 NONE | Claims processing; Plan Administrator Service code 12 | 224 NORTH PARK AVENUE FREEMONT, NE 68025 | $120K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Accounting (including auditing) Service code 10 | 540 WEST MADISON STREET CHICAGO, IL 606612551 | $65K |
| GREGORIO, STEC, KLEIEN & HOSE EIN 36-4028033 NONE | Legal Service code 29 | 2 N. LASALLE STREET, SUITE 1650 CHICAGO, IL 60602 | $60K |
| TFBC, LLC EIN 27-3782504 NONE | Actuarial; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 11 | 2 MID AMERICA PLAZA, SUITE 800 OAKBROOK TERRACE, IL 60181 | $48K |
| CONSUMER MEDICAL NONE | Claims processing Service code 12 | 141 LONGWATER DRIVE, STE 113A NORWELL, MA 02061 | $45K |
| BMO HARRIS BANK NA EIN 36-2085229 NONE | Custodial (securities) Service code 19 | — | $36K |
| ENVISION HEALTHCARE INC NONE | Claims processing Service code 12 | 823 COMMERCE DRIVE, 325 OAKBROOK, IL 60523 | $34K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | 230 WEST MONROE STREET, SUITE 310 CHICAGO, IL 60606 | $32K |
| HEALTH DYNAMICS EIN 39-1923786 NONE | Direct payment from the plan Service code 50 | 377 W. RIVER WOODS PARKWAY GLENDALE, WI 53212 | $29K |
| FIDUCIENT ADVISORS EIN 36-4001764 NONE | Consulting (pension) Service code 17 | 500 WEST MADISON STREET, SUITE 3855 CHICAGO, IL 60661 | $24K |
| EMPLOYEE RESOURCE SYSTEMS NONE | Other services Service code 49 | 29 E MADISON ST CHICAGO, IL 60602 | $19K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Custodial (securities) Service code 19 | ONE WEST MONROE CHICAGO, IL 606035301 | $17K |
| FIRST LIGHT ASSET MANAGEMENT NONE | Investment management Service code 28 | 3300 EDINBOROUGH WAY, SUITE 201 EDINA, MN 55435 | $17K |
| MORGAN BIRGE & ASSOCIATES NONE | Other services Service code 49 | 119 W HUBBARD ST SUITE 4E CHICAGO, IL 60654 | $8K |
| DAVIS VISION EIN 11-3051991 NONE | Plan Administrator; Claims processing Service code 12 | 881 ELKRIDGE LANDING RD SUITE 300 LINTHICUM, MD 21090 | $6K |
| GENESIS HEALTH TECHNOLOGIES NONE | Other services Service code 49 | 715 KENTUCKY AVE PADUCAH, KY 42003 | $6K |
| ONWARD HEALTHCARE CONSULTING, LLC NONE | Other services; Consulting (general) Service code 16 | 2132 W WARNER AVE CHICAGO, IL 60618 | $5K |
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 | 938 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 445 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,383 | 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.