| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MUTUAL MEDICAL5 Filed as: MUTUAL MEDICAL C/O RON JONES | 416 MAIN STREET STE 1025 PEORIA, IL 616021116 | SYMETRA LIFE INSURANCE COMPANY | — | — | $0 | — |
| BILLINGTON INS AGENCY INC3 | PO BOX 143 JOHNSTON CITY, IL 62951 | SYMETRA LIFE INSURANCE COMPANY | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UA LOCAL 551 EIN 37-0654835 UNION LOCAL | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 10967 DEAN BROWNING BLVD WEST FRANKFORT, IL 62896 | $96K |
| MUTUAL MEDICAL PLANS INC EIN 37-1013512 THIRD PARTY ADMINISTRATOR | Plan Administrator Service code 14 | 416 MAIN STREET, SUITE 1025 PEORIA, IL 61602 | $70K |
| LABOR FIRST, LLC EIN 06-1750191 NONE | Insurance services Service code 23 | 1000 MIDLANTIC DRIVE, SUITE 100 MOUNT LAUREL, NJ 08054 | $18K |
| HEALTHLINK EIN 43-1364135 PROVIDER NETWORK ADMIN | Claims processing Service code 12 | 1831 CHESTNUT STREET ST. LOUIS, MO 63103 | $12K |
| GRABEL, SCHNIEDERS, HOLLMAN & CO EIN 43-1171178 NONE | Accounting (including auditing) Service code 10 | 206 W. ARGONNE, STE 200 KIRKWOOD, MO 63122 | $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 | 113 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 47 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPHYESYS INSURANCE COMPANY | 65 | $193K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 65 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.