| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY SUITE 6 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 7.30% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY SUITE 6 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 7.35% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY SUITE 6 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $113 | $0 | $113 | 7.30% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICES - BOR | 3025 HIGHLAND PARKWAY SUITE 6 DOWNERS GROVE, IL 60515 | COMBINED INSURANCE COMPANY OF AMERICA | $60 | $0 | $60 | 7.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITEDHEALTH GROUP EIN 41-1321939 NONE | Claims processing Service code 12 | — | $751K |
| DELTA DENTAL OF IL EIN 36-2612058 NONE | Claims processing Service code 12 | — | $68K |
| EMPLOYEE RESOURCE CENTER EIN 39-1743189 NONE | Other services Service code 49 | — | $54K |
| EXPRESS SCRIPTS EIN 22-3461740 NONE | Claims processing Service code 12 | — | $50K |
| BENEFIT ADVANTAGE INC. EIN 39-2023593 NONE | Claims processing Service code 12 | — | $16K |
| SCHENCK SC EIN 39-1173131 NONE | Accounting (including auditing) Service code 10 | — | $11K |
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 | 1,103 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 665 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,768 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTH GROUP, INC. | 646 | $1.8M |
| Vision(4 contracts) | COMBINED INSURANCE COMPANY OF AMERICA | 1,474 | $216K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,474 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.