No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF IL NONE | Other services Service code 49 | 300 EAST RANDOLPH STREET CHICAGO, IL 60601 | $999K |
| CLEARARC CAPITAL INC. NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 111 LYON ST. NW GRAND RAPIDS, MI 49503 | $203K |
| COMPSYCH CORPORATION NONE | Other services Service code 49 | 23696 NETWORK PLANCE CHICAGO, IL 60673 | $192K |
| MEDICAL COST MANAGEMENT CORP NONE | Other services Service code 49 | 200 W. MONROE STREET, STE 1850 CHICAGO, IL 60606 | $187K |
| EMDEON NONE | Claims processing Service code 12 | 3055 LEBANON PIKE NASHVILLE, TN 37214 | $90K |
| BOND BROTHERS & COMPANY NONE | Copying and duplicating Service code 36 | 4826 W. 47TH STREET LYONS, IL 60534 | $51K |
| THE NORTHERN TRUST COMPANY NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 50 SOUTH LASALLE STREET CHICAGO, IL 60603 | $51K |
| GRAFF, BALLAUER & BLANSKI, P.C. NONE | Other services Service code 49 | 2 NORTHFIELD PLAZA, SUITE 200 NORTHFIELD, IL 60093 | $45K |
| BODENHAGEN, KENNETH EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $44K |
| THE SEGAL COMPANY NONE | Actuarial Service code 11 | 101 NORTH WACKER DRIVE, STE 500 CHICAGO, IL 60606 | $34K |
| KMET, FRANK EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $34K |
| ONJYJIAKA, BONIFACE EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $32K |
| BAUM SIGMAN AUERBACH & NEUMAN, LTD NONE | Legal Service code 29 | 200 W. ADAMS STREET, STE 2200 CHICAGO, IL 60606 | $31K |
| FOLGA, MYRNA EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $31K |
| WOZNICKI, RUTH EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $29K |
| WADDELL, RACHEL EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $28K |
| TEO, BRADLEY EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $27K |
| THOMAS, CHARLOTTE EMPLOYEE | Employee (plan) Service code 30 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $27K |
| FIRST COMMONWEALTH NONE | Other services Service code 49 | 2N-55 3900 BURGESS PLACE BETHLEHEM, PA 18017 | $25K |
| MEDIMEDIA USA INC. NONE | Other services Service code 49 | 780 TOWNSHIP LINE ROAD, SUTIE 200 YARDLEY, PA 19067 | $11K |
| THOMPSON COBURN LLP NONE | Legal Service code 29 | 55 E. MONROE ST CHICAGO, IL 60603 | $8K |
| PARADIGM INSURANCE GROUP NONE | Insurance services Service code 23 | 1010 JORIE BLVD, SUITE 248 OAK BROOK, IL 60523 | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7,229 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,229 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.