| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY, LTD | 1750 EAST GOLF ROAD SCHAUMBURG, IL 60173 | GERBER LIFE INSURANCE COMPANY | $28K | — | $28K | 13.70% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC5 | 17475 JOVANNA DRIVE HOMEWOOD, IL 60430 | GERBER LIFE INSURANCE COMPANY | $2K | — | $2K | 0.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MGMT | Float revenue; Claims processing; Direct payment from the plan; Other fees Service code 12 | 2300 MAIN STREET IRVINE, CA 92614 | $1.0M |
| UMR, INC. EIN 39-1995276 NONE | Claims processing Service code 12 | 11 SCOTT STREET WAUSAU, WI 54403 | $266K |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC EIN 36-4197088 NONE | Claims processing Service code 12 | 17475 JOVANNA DRIVE HOMEWOOD, IL 60430 | $28K |
| JOSEPH T SNYDER & ASSOCIATES, LTD EIN 36-3135532 NONE | Insurance agents and brokers Service code 22 | 1021 75TH STREET DARIEN, IL 60561 | $0 |
| OPTUMRX, INC. 33-0441200 | Float revenue; Claims processing; Other fees; Direct payment from the plan Service code 12 | — | $0 |
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 | 734 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 734 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | TRU SERVICES | 734 | $604K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 734 | — |
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."
No prospect flags tripped on this filing.