No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SAV-RX PRESCRIPTION SERVICES EIN 47-0527013 NONE | Contract Administrator; Claims processing Service code 12 | — | $960K |
| BENEFITS MANAGEMENT GROUP, INC. EIN 20-0188125 NONE | Plan Administrator Service code 14 | — | $287K |
| BLUE CROSS BLUE SHIELD OF IL EIN 36-1236610 NONE | Claims processing; Insurance brokerage commissions and fees; Contract Administrator; Other services; Direct payment from the plan Service code 12 | — | $182K |
| SUSAN GWALTNEY EIN 36-6110305 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| JOHNSON & KROL LLC EIN 36-4342024 NONE | Legal Service code 29 | — | $69K |
| NATIONAL INVESTMENT SERVICES INC. EIN 80-0169636 NONE | Custodial (securities); Investment management fees paid directly by plan; Investment management Service code 19 | — | $56K |
| TFBC, LLC EIN 27-3782504 NONE | Actuarial Service code 11 | — | $44K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $26K |
| MEDICAL COST MANAGEMENT CORP. EIN 36-3445315 NONE | Claims processing; Other services Service code 12 | — | $24K |
| STRATEGIC CAPITAL INV. ADVISORS EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $20K |
| U.S. BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Investment management fees paid directly by plan; Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | — | $19K |
| DELTA DENTAL OF ILLINOIS EIN 36-2612058 NONE | Contract Administrator; Claims processing Service code 12 | — | $14K |
| CHC WELLNESS NONE | Other services Service code 49 | 5440 N. CUMBERLAND AVE CHICAGO, IL 60656 | $12K |
| SWEDISH AMERICAN HEALTH MGMT. EIN 36-2222696 NONE | Other services Service code 49 | — | $11K |
| EMPLOYEE RESOURCE SYSTEMS EIN 36-3867645 NONE | Other services; Claims processing Service code 12 | — | $6K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Other investment fees and expenses; Custodial (securities); Float revenue Service code 19 | — | $4K |
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 | 434 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 236 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 670 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | TRUSTMARK LIFE INSURANCE COMPANY | 495 | $43K |
| Other | TRUSTMARK LIFE INSURANCE COMPANY | 495 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 495 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.