| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY (MIDWEST) INC. | PO BOX 4092, CHURCH STREET STATION NEW YORK, NY 10261 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 8.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 NONE | Claims processing; Recordkeeping fees Service code 12 | — | $727K |
| THE SEGAL COMPANY (MIDWEST), INC EIN 13-1975125 NONE | Actuarial; Insurance brokerage commissions and fees; Consulting (general) Service code 11 | — | $81K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Contract Administrator; Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $67K |
| KOVITZ INVESTMENT GROUP EIN 91-2198169 NONE | Soft dollars commissions; Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $52K |
| ASB CAPITAL MANAGEMENT LLC EIN 27-0185492 NONE | Investment management Service code 28 | — | $46K |
| MEKETA INVESTMENT GROUP, INC EIN 04-2659023 NONE | Investment advisory (plan) Service code 27 | — | $31K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $22K |
| EMPLOYEE RESOURCE SERVICES, INC EIN 36-3867645 NONE | Claims processing Service code 12 | — | $18K |
| UNION SERVICES AGENCY EIN 38-3297465 NONE | Insurance agents and brokers Service code 22 | — | $7K |
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 | 829 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 829 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF ILLINOIS | 839 | $18K |
| Vision | VISION SERVICE PLAN | 861 | $146K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 837 | $91K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 837 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 861 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.