| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WASHINGTON STREET INSURANCE GROUP | PO BOX 360 PALOS PARK, IL 60464 | AMALGAMATED LIFE INSURANCE COMPANY | $15K | — | $15K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 NONE | Direct payment from the plan; Other fees; Claims processing; Float revenue Service code 12 | — | $1.1M |
| BENESYS, INC. EIN 38-2383171 NONE | Plan Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $129K |
| CAVANAGH & O'HARA, LLP EIN 37-1259635 NONE | Legal; Direct payment from the plan Service code 29 | — | $108K |
| THE SEGAL COMPANY (MIDWEST), INC EIN 13-1975125 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $71K |
| MARQUETTE ASSOCIATES EIN 36-3485298 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $41K |
| MED-CARE MANAGEMENT EIN 88-0429522 NONE | Direct payment from the plan; Other services Service code 49 | — | $21K |
| ROMOLO & ASSOCIATES EIN 84-2885766 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $15K |
| ARGENT CAPITAL MANAGEMENT LLC EIN 43-1826950 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $14K |
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 | 819 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 840 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHEILD | 2,005 | $6.4M |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 851 | $305K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,005 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.