| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING INC ILLINOIS | 29840 NETWORK PLACE CHICAGO, IL 606731298 | SECURIAN LIFE INSURANCE COMPANY | $4K | $711 | $5K | 0.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD, 14TH FLOOR A CHICAGO, IL 60604 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $6K | $6K | 1.45% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GULF SOUTH | 3510 NORTH CASEWAY BOULEVARD SUITE 200 METAIRIE, LA 70009 | SECURIAN LIFE INSURANCE COMPANY | $37K | — | $37K | 60.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC ILLINOIS | 29840 NETWORK PLACE CHICAGO, IL 606731298 | SECURIAN LIFE INSURANCE COMPANY | $580 | $58 | $638 | 1.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GULF SOUTH | 3510 NORTH CASEWAY BOULEVARD SUITE 200 METAIRIE, LA 70009 | SECURIAN LIFE INSURANCE COMPANY | $22K | — | $22K | 47.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $527K |
| LINCOLN LIFE ASSURANCE CO OF BOSTON EIN 04-6076039 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $59K |
| CVS PHARMACY, INC. EIN 05-0340626 CLAIMS PROCESSING | Claims processing Service code 12 | — | $52K |
| LIBERTY MUTUAL LEAVE SERVICES EIN 04-6076039 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $18K |
| HUB INTERNATIONAL OF ILLINOIS LTD BROKER | Insurance agents and brokers; Other commissions Service code 22 | 55 E JACKSON BLVD CHICAGO, IL 60604 | $14K |
| HUB INTERNATIONAL MIDWEST LIMITED BROKER | Other commissions; Insurance agents and brokers Service code 22 | 55 E JACKSON BLVD 14TH FLOOR A CHICAGO, IL 60604 | $510 |
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 | 1,053 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 109 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 823 | $152K |
| Life insurance(4 contracts) | SECURIAN LIFE INSURANCE COMPANY | 3,067 | $877K |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 1,166 | $380K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,067 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.