Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Elite Administration & Ins Group LifeSTDOther | LifeSTDOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 1 contract with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 554 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 554 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 655 | $41K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 655 | $41K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 655 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 655 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Dearborn Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE EIN 41-0956552 NONE | Contract Administrator Service code 13 | — | $460K |
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing Service code 12 | — | $367K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Consulting (general); Actuarial Service code 11 | — | $206K |
| MEDICAL INSURANCE CONSULTING GROUP EIN 36-3800520 NONE | Consulting (general) Service code 16 | — | $169K |
| REINHART BOERNER VAN DEUREN, SC EIN 39-1126909 NONE | Legal Service code 29 | — | $114K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $94K |
| TELLIGEN EIN 33-2157812 NONE | Other services Service code 49 | — | $72K |
| WELLDYNERX, LLC EIN 84-1515837 NONE | Contract Administrator; Claims processing Service code 12 | — | $33K |
| SEGALL BRYANT & HAMILL EIN 35-2679129 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | — | $22K |
| THE KARMEL LAW FIRM EIN 20-4035194 NONE | Legal Service code 29 | — | $18K |
| GREEN LIGHT COMPARISON EIN 45-5248276 NONE | Other services Service code 49 | — | $11K |
| AMALGAMATED BANK EIN 36-0721895 NONE | Soft dollars commissions; Account maintenance fees; Custodial (securities); Float revenue Service code 19 | — | $10K |
| SEGAL MARCO ADVISORS, INC. EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $10K |
| DATAMATION EIN 36-4303011 NONE | Other services Service code 49 | — | $6K |
| HUNT INSURANCE AGENCY, INC. EIN 36-2730032 NONE | Other commissions Service code 55 | — | $0 |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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10 filings · 2016 to 2025