No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLIED BENEFIT SYSTEMS INC EIN 36-3086057 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 200 W ADAMS STREET, SUITE 500 CHICAGO, IL 60606 | $39K |
| HORTON BENEFIT SOLUTIONS EIN 36-3672171 AGENT | Insurance agents and brokers Service code 22 | 10320 ORLAND PARKWAY ORLAND PARKWAY, IL 60467 | $20K |
| INNOVATIVE BENEFIT SOLUTIONS INC EIN 39-1840568 BROKER | Insurance agents and brokers Service code 22 | 11057 N TOWNE SQUARE RD MEQUON, WI 53092 | $10K |
| MULTIPLAN (HEALTH EOS) PPO | Claims processing Service code 12 | 115 FIFTH AVENUE NEW YORK, NY 10003 | $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 | 164 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | U.S. FIRE INSURANCE | 164 | $679K |
| Other | NATIONAL UNION FIRE | 164 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
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.