| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS5 | 50 WHITECAP DRIVE N. KINGSTOWN, RI 02852 | EXPRESS SCRIPTS, INC. PRESCRIPTION DRUG PLAN | $11K | — | $11K | 3.35% |
| THE SEGAL COMPANY5 Filed as: THE SEGAL COMPANY (MIDWEST), INC. | 333 WEST 34TH STREET NEW YORK, NY 10001 | EXPRESS SCRIPTS, INC. PRESCRIPTION DRUG PLAN | $7K | — | $7K | 2.23% |
| AMWINS5 | 50 WHITECAP DRIVE N. KINGSTOWN, RI 02852 | UNITED AMERICAN INSURANCE COMPANY RETIREE MEDICAL | $30K | — | $30K | 10.23% |
| THE SEGAL COMPANY5 Filed as: THE SEGAL COMPANY (MIDWEST), INC. | 333 WEST 34TH STREET NEW YORK, NY 10001 | UNITED AMERICAN INSURANCE COMPANY RETIREE MEDICAL | $10K | — | $10K | 3.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing Service code 12 | — | $751K |
| GROUP ADMINISTRATORS, LTD. EIN 36-3381052 NONE | Contract Administrator; Other commissions Service code 13 | — | $448K |
| THE SEGAL COMPANY (MIDWEST) INC. EIN 13-1975125 NONE | Insurance brokerage commissions and fees; Actuarial Service code 11 | — | $103K |
| AMERICAN REALTY ADVISORS EIN 33-0123114 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $80K |
| MACNELL ACCOUNTING & CONSULTING LLP EIN 30-0510353 NONE | Accounting (including auditing) Service code 10 | — | $75K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $70K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $65K |
| MCGANN KETTERMAN AND RIOUX, LTD EIN 36-3968279 NONE | Legal Service code 29 | — | $58K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Float revenue; Other investment fees and expenses; Custodial (securities) Service code 19 | — | $23K |
| INVESCO ADVISORS INC. EIN 58-1707262 NONE | Float revenue; Investment management fees paid directly by plan; Investment management Service code 28 | — | $22K |
| ULLICO INVESTMENT ADVISORS INC. EIN 52-6435649 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $20K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing Service code 12 | — | $7K |
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 | 1,169 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 248 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,417 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED AMERICAN INSURANCE COMPANY RETIREE MEDICAL | 132 | $298K |
| Vision | VISION SERVICE PLAN OF ILLINOIS | 1,178 | $171K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,160 | $40K |
| Prescription drug | EXPRESS SCRIPTS, INC. PRESCRIPTION DRUG PLAN | 135 | $334K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,240 | $1.5M |
| Other(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 1,160 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,240 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.