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 | — | $1.6M |
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing; Other commissions Service code 12 | — | $937K |
| EVERSIDE HEALTH LLC NONE | Other services Service code 49 | DEPT CH 18148 PALATINE, IL 60055 | $628K |
| RED CARD SYSTEMS, LLC NONE | Other services Service code 49 | 744 OFFICE PARKWAY SAINT LOUIS, MO 63141 | $263K |
| 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 | $251K |
| ROBERT W. BAIRD & CO. NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 227 W MONROE, STE 1900 CHICAGO, IL 60606 | $201K |
| DELTA DENTAL OF ILLINOIS EIN 36-2612058 NONE | Claims processing Service code 12 | — | $179K |
| FOUNDRY PARTNERS EIN 46-1184506 NONE | Soft dollars commissions; Securities brokerage commissions and fees; Investment management Service code 28 | — | $158K |
| CHANGE HEALTHCARE SOLUTIONS NONE | Other services Service code 49 | PO BOX 572490 MURRAY, UT 84157 | $133K |
| UCS HOLDINGS NONE | Other services Service code 49 | DEPT 374, PO BOX 1000 MEMPHIS, TX 38148 | $130K |
| ACCRETIVE GLOBAL INSURANCE SERVICES NONE | Other services Service code 49 | 17199 N. LAUREL PARK, SUITE 400 LIVONIA, MI 48152 | $98K |
| TRACY BIELA EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $95K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Consulting (general); Actuarial Service code 11 | — | $94K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $87K |
| ANNA BOZICH EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $83K |
| INSTITUTE FOR WORKER WELFARE RELATED ORGANIZATION | Legal Service code 29 | 6141 JOLIET ROAD COUNTRYSIDE, IL 60525 | $75K |
| KELSIE PECENY EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| KATHLEEN AUSTIN EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| JENNIFER MEISTER EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $65K |
| TANYA REED EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| DIANE PIERSON EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| MARION MCINTURFF EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| MARY DAVIS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| ABSOLUTE SOLUTIONS LLC NONE | Other services Service code 49 | PO BOX 1345 BLOOMINGTON, IL 61702 | $63K |
| MATTHEW MOSQUEDA EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| ANGELICA AMADOR EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $56K |
| TONI ROWLAND EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $54K |
| CHERYLE PICKETT DENNIS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $54K |
| JACKIE CALDWELL EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $54K |
| FRANCES LIMANDRI-BURGOS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $54K |
| HECTOR TAPIA EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| MARIE JOERMS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| ARLENE ORMISTON EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| MARICRUZ CERVANTES EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| BETTY PHILLIPS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| CHRISTINE MOWINSKI EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $53K |
| LAVERNE PURCHASE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| SYLVIA MCAROY EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| WANDA BUSS EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| BRIDGEWAY BENEFIT TECHNOLOGIES, LLC EIN 52-1796473 NONE | Other services Service code 49 | — | $52K |
| JENNIFER BEEMSTERBOER EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| JESSIKA PUENTE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| JULI KRESGE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| KAITLYN ODEKIRK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| MARTIN TUREK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| MICHAEL APRILE EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| MIDWEST COALITION OF LABOR NONE | Other services Service code 49 | 6200 JOLIET ROAD COUNTRYSIDE, IL 60525 | $48K |
| GILBERT PEREZ EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| VATISHA HAMMICK EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| NANCY MCKINLEY EIN 37-1752023 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
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 | 8,378 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 8,378 | 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.