| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 333 W 34TH ST NEW YORK, NY 10001 | UNION LABOR LIFE INSURANCE COMPANY | $7K | — | $7K | 1.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF WISCONSIN EIN 39-0138065 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Float revenue Service code 12 | — | $1.8M |
| TEAMSTERS LOCAL 344 EIN 39-0146203 LABOR UNION | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 10020 W GREENFIELD AVE MILWAUKEE, WI 53214 | $325K |
| SAV-RX EIN 47-0527013 NONE | Claims processing; Plan Administrator Service code 12 | 224 NORTH PARK AVE FREMONT, NE 68025 | $270K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Consulting (general); Actuarial; Insurance agents and brokers; Other commissions Service code 11 | 333 W 34TH ST NEW YORK, NY 10001 | $249K |
| SOLDON LAW FIRM, LLC EIN 27-4757308 NONE | Legal Service code 29 | 3541 N SUMMIT AVE SHOREWOOD, IL 53211 | $167K |
| DELTA DENTAL EIN 36-2612058 NONE | Claims processing Service code 12 | — | $120K |
| LOOMIS SAYLES NONE | Investment management Service code 28 | ONE FINANCIAL CENTER BOSTON, MA 02111 | $50K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | 7501 WISCONSIN AVE, STE 1200 WEST BETHESDA, MD 20814 | $30K |
| COMPREHENSIVE CONSULTING SOLUTIONS NONE | Other services Service code 49 | 5038 DORSEY HALL DR ELLICOTT CITY, MD 21042 | $20K |
| EYE MED NONE | Claims processing Service code 12 | 4000 LUXOTTICA PLACE I MASON, OH 45040 | $19K |
| PNC BANK NONE | Custodial (securities) Service code 19 | PO BOX 91309 CLEVELAND, OH 44101 | $11K |
| ACA TRACK NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 303 MIDDLETOWN PARK PLACE LOUISVILLE, KY 40243 | $10K |
| MARCO CONSULTING NONE | Investment advisory (plan) Service code 27 | 550 W WASHINGTON BLVD 900 CHICAGO, IL 60661 | $8K |
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 | 2,234 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,604 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,838 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF WISCONSIN | 3,838 | $3.3M |
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 2,222 | $327K |
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 2,608 | $527K |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 2,222 | $327K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,838 | — |
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.