| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT EMPLOYEE BENEFITS | — | UNION LABOR LIFE INSURANCE COMPANY | $7K | — | $7K | 2.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | — | DEARBORN NATIONAL LIFE INSURANCE CO | $5K | $3K | $8K | 5.72% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SERVICE CORPORATION EIN 36-1236610 NONE | Other fees; Contract Administrator Service code 13 | — | $230K |
| BENEFIT MANAGEMENT GROUP, INC. EIN 20-0188125 NONE | Contract Administrator Service code 13 | — | $196K |
| TSEU LOCAL TWO EIN 36-0906745 RELATED ORGANIZATION | Trustee (discretionary) Service code 24 | — | $73K |
| GUARDIAN EIN 13-5123390 NONE | Contract Administrator Service code 13 | — | $38K |
| SEI INVESTMENTS EIN 23-1707341 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $33K |
| FOSTER & FOSTER EIN 59-1921114 NONE | Actuarial Service code 11 | — | $26K |
| JACOBS, BURNS, ORLOVE & HERNANDEZ EIN 36-2425981 NONE | Legal Service code 29 | — | $25K |
| BANSLEY & KIENER, L.L.P. EIN 36-2152389 NONE | Accounting (including auditing) Service code 10 | — | $22K |
| SCRIPT CARE, LTD EIN 76-0621375 NONE | Other services Service code 49 | — | $16K |
| MED-CARE MANAGEMENT INC. EIN 88-0429522 NONE | Other services Service code 49 | — | $16K |
| EMPLOYEE RESOURCE SYSTEMS NONE | Other fees Service code 99 | 29 EAST MADISON ST. CHICAGO, IL 60602 | $10K |
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 | 423 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 121 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 544 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE CO OF AMERICA | 544 | $38K |
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 518 | $325K |
| Other | DEARBORN NATIONAL LIFE INSURANCE CO | 519 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 544 | — |
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.