No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WABASH MEMORIAL HOSPITAL ASSOC EIN 37-0806462 EMPLOYEE WAGES/BENEFITS | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $892K |
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 CONTRACT ADMIN | Direct payment from the plan; Contract Administrator Service code 13 | — | $403K |
| FAEGRE DRINKER EIN 41-0244008 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $169K |
| INNOVATIVE SOFTWARE SOLUTIONS EIN 23-2182079 IT CONSULTING | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $77K |
| OPEROSE ADVISORS LLC INVESTMENT ADVISOR | Direct payment from the plan; Investment advisory (plan) Service code 27 | 735 N. WATER STREET SUITE 1440 MILWAUKEE, WI 53202 | $60K |
| HICKORY POINT BANK & TRUST FSB EIN 59-1531281 TRUST SERVICES | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $55K |
| CHANGE HEALTHCARE OPERATIONS, LLC EIN 20-5731067 CONTRACT ADMIN | Claims processing; Direct payment from the plan Service code 12 | — | $51K |
| BKD, LLP EIN 44-0160260 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $44K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 CONTRACT ADMIN | Direct payment from the plan; Contract Administrator Service code 13 | — | $34K |
| EPIC CONSULTANT | Direct payment from the plan; Consulting (general) Service code 16 | 1 CALIFORNIA STREET SUITE 400 SAN FRANCISCO, CA 94111 | $30K |
| GAY ROLOFSON JANITORIAL SERVICE | Custodial (other than securities); Direct payment from the plan Service code 18 | 1501 N. DECATUR STREET DECATUR, IL 62526 | $18K |
| COMMERCIAL MAIL SERVICE EIN 37-1324810 MAIL SERVICE | Direct payment from the plan; Participant communication Service code 38 | — | $7K |
| TRUMP DIRECT EIN 37-1058364 PRINTER | Copying and duplicating; Participant communication; Direct payment from the plan Service code 36 | — | $5K |
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 | 1,253 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,645 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,898 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | BCS FINANCIAL CORPORATION | 1,356 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,356 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.