| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEINER INSURANCE, INC. Filed as: WEINER INS INC | 13951 N. SCOTTSDALE ROAD SUITE 131 N. SCOTTSDALE, AZ 85254 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Other services; Participant communication; Investment management fees paid indirectly by plan; Claims processing; Non-monetary compensation; Named fiduciary; Float revenue Service code 12 | — | $1.6M |
| SEIU NATIONAL INDUSTRY PENSION FUND EIN 52-0812348 AFFILIATE | Contract Administrator Service code 13 | — | $1.6M |
| GROUP HOSP MED SERV (CAREFIRST) EIN 53-0078070 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $507K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Actuarial Service code 11 | — | $261K |
| DELTA DENTAL EIN 52-1479587 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $158K |
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Claims processing Service code 12 | — | $100K |
| GARCIA HAMILTON & ASSOCIATES EIN 76-0589652 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $50K |
| MOONEY, GREEN, BAKER & SAINDON LLP EIN 52-1958229 NONE | Legal; Direct payment from the plan Service code 29 | — | $48K |
| CVS PHARMACY, INC EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $32K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $27K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $12K |
| MARQUETTE ADVISORS EIN 36-3485298 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $10K |
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 | 5,821 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,821 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 56 | $4.0M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 48 | $17K |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 828 | $50K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY (SL) | 5,498 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,498 | — |
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.