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 |
|---|---|---|---|
| CORPORATE HEALTH DIMENSIONS EIN 23-3057155 NONE | Other services Service code 49 | — | $1.4M |
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing; Other commissions Service code 12 | — | $948K |
| EVERSIDE HEALTH LLC NONE | Other services Service code 49 | 1400 WEWATTA STREET, SUITE 350 DENVER, CO 80202 | $405K |
| ROBERT W. BAIRD & CO. NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 227 W MONROE, STE 1900 CHICAGO, IL 60606 | $352K |
| FOUNDRY PARTNERS EIN 46-1184506 NONE | Soft dollars commissions; Securities brokerage commissions and fees; Investment management Service code 28 | — | $346K |
| RED CARD SYSTEMS, LLC NONE | Other services Service code 49 | 744 OFFICE PARKWAY SAINT LOUIS, MO 63141 | $245K |
| MOE IT SERVICE CORPORATION RELATED ORGANIZATION | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 15 | 6150 JOLIET RD COUNTRYSIDE, IL 60525 | $190K |
| DELTA DENTAL OF ILLINOIS EIN 36-2612058 NONE | Claims processing Service code 12 | — | $167K |
| CHANGE HEALTHCARE SOLUTIONS NONE | Other services Service code 49 | PO BOX 572490 MURRAY, UT 84157 | $124K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $116K |
| UCS HOLDINGS NONE | Other services Service code 49 | DEPT 3786, PO BOX 123786 DALLAS, TX 75312 | $113K |
| INSTITUTE FOR WORKER WELFARE NONE | Legal Service code 29 | 6141 JOLIET ROAD COUNTRYSIDE, IL 60525 | $85K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Consulting (general); Actuarial Service code 11 | — | $84K |
| TRACY BIELA EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $78K |
| KERRY MCMAHON EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $66K |
| ABSOLUTE SOLUTIONS LLC NONE | Other services Service code 49 | PO BOX 1345 BLOOMINGTON, IL 61702 | $64K |
| ANNA BOZICH EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| KELSIE PECENY EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| THE NORTHERN TRUST CORPORATION EIN 36-2723087 NONE | Soft dollars commissions; Other investment fees and expenses; Investment management fees paid directly by plan; Investment management Service code 28 | — | $61K |
| KATHLEEN AUSTIN EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $57K |
| DIANE PIERSON EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $57K |
| JENNIFER MEISTER EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $55K |
| MATTHEW MOSQUEDA EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $55K |
| MARTIN TUREK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| MICHAEL APRILE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| ALEX HARRISON EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| BETTY PHILLIPS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| MARION MCINTURFF EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| TONI ROWLAND EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| JACKIE CALDWELL EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| MARY DAVIS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| HECTOR TAPIA EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| MARICRUZ CERVANTES EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| CHERYLE PICKETT DENNIS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| TANYA REED EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| FRANCES LIMANDRI-BURGOS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| ARLENE ORMISTON EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| CHRISTINE MOWINSKI EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| WANDA BUSS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| SYLVIA MCAROY EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| VATISHA HAMMICK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $46K |
| GILBERT PEREZ EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| KAITLYN ODEKIRK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $44K |
| LAVERNE PURCHASE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| ALLISON CIANCI EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| THOMAS BERNSTEIN EIN 37-1752023 EMPLOYEE | Plan Administrator Service code 14 | — | $43K |
| LUZ CASTILLO EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $42K |
| JESSIKA PUENTE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $42K |
| BEATA GARCZEK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $42K |
| TRACI VARGAS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $41K |
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 | 8,282 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 8,282 | 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.