| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO. (EASTERN STATES) INC. | 333 WEST 34TH STREET NEW YORK, NY 10001 | HCC LIFE INSURANCE COMPANY | $13K | — | $13K | 1.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing Service code 12 | — | $651K |
| GROUP ADMINISTRATORS, LTD. EIN 36-3381052 NONE | Contract Administrator; Other commissions Service code 13 | — | $491K |
| THE SEGAL COMPANY (MIDWEST) INC. EIN 13-1975125 NONE | Actuarial Service code 11 | — | $228K |
| MACNELL ACCOUNTING & CONSULTING LLP EIN 30-0510353 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $199K |
| AMERICAN REALTY ADVISORS EIN 33-0123114 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $75K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $75K |
| MCGANN KETTERMAN AND RIOUX, LTD EIN 36-3968279 NONE | Legal Service code 29 | — | $65K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $65K |
| FOSTER AND FOSTER INC EIN 59-1921114 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $56K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing Service code 12 | — | $54K |
| SEGAL SELECT INS. SERVICES, INC. EIN 46-0619194 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $31K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Float revenue; Other investment fees and expenses; Custodial (securities) Service code 19 | — | $17K |
| DAN AUSSEM EIN 36-6599036 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| PETRY DESIGN NONE | Other services Service code 49 | 7210 EAST STATE STREET ROCKFORD, IL 61108 | $9K |
| MITCH HARVEY EIN 36-6599036 TRUSTEE | Trustee (individual) Service code 20 | — | $6K |
| CARLA JOCKSICH EIN 36-6599036 TRUSTEE | Trustee (individual) Service code 20 | — | $5K |
| INVESCO ADVISERS INC. EIN 58-1707262 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions; Float revenue Service code 28 | — | $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 | 1,105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 208 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,313 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 142 | $340K |
| Vision | VISION SERVICE PLAN | 1,089 | $167K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,082 | $38K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,211 | $1.1M |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,082 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,211 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.