No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF IL EIN 36-1236610 NONE | Other fees Service code 99 | — | $296K |
| GROUP ADMINISTRATORS EIN 36-3381052 NONE | Claims processing; Contract Administrator Service code 12 | — | $138K |
| BAUM SIGMAN AUERBACH & NEWMAN, LTD EIN 36-2744057 NONE | Legal Service code 29 | — | $52K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Actuarial Service code 11 | — | $40K |
| CALIBRE CPA GROUP NONE | Accounting (including auditing) Service code 10 | 230 WEST MONROE STREET, STE 310 CHICAGO, IL 60606 | $37K |
| BANK OF AMERICA/US TRUST EIN 94-1687665 NONE | Custodial (securities); Other investment fees and expenses Service code 19 | — | $27K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Investment advisory (plan) Service code 27 | — | $21K |
| SEGAL MARCO ADVISORS NONE | Investment advisory (plan) Service code 27 | 550 W WASHINGTON BLVD SUITE 900 CHICAGO, IL 60661 | $20K |
| MEDICAL COST MANAGEMENT CORP. EIN 36-3445315 NONE | Other services Service code 49 | — | $14K |
| ASB CAPITAL MANAGEMENT, LLC NONE | Investment management Service code 28 | 744 COWPER STREET PALO ALTO, CA 94301 | $14K |
| MISC. WAREHOUSEMEN'S LOCAL 781 EIN 36-1757753 RELATED LOCAL UNION | Other services Service code 49 | — | $11K |
| INTERACTIVE HEALTH BENEFITS LLC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $5K |
| OPTUM RX EIN 33-0441200 NONE | Claims processing; Float revenue; Other fees 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 | 652 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 664 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 643 | $29K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE | 689 | $493K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 643 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 689 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.