| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEINER INSURANCE, INC.3 Filed as: WEINER INS INC | 13951 N. SCOTTSDALE ROAD SUITE 131 SCOTTSDALE, AZ 85254 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $826 | — | $826 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEIU NATIONAL INDUSTRY PENSION FUND EIN 52-6148540 AFFILIATE | Contract Administrator; Direct payment from the plan Service code 13 | — | $1.5M |
| GROUP HOSP MED SERV (CAREFIRST) EIN 53-0078070 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $563K |
| UMR, INC. EIN 39-1995276 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $550K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $296K |
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 ADMINISTRATOR | Claims processing; Direct payment from the plan; Float revenue; Named fiduciary; Other services; Contract Administrator; Participant communication; Non-monetary compensation Service code 12 | — | $220K |
| DELTA DENTAL EIN 52-1479587 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $162K |
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $69K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $69K |
| MOONEY, GREEN, BAKER & SAINDON LLP EIN 52-1958229 NONE | Legal; Direct payment from the plan Service code 29 | — | $56K |
| CVS CAREMARK EIN 05-0340626 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $41K |
| GARCIA HAMILTON & ASSOCIATES EIN 76-0589652 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $32K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $31K |
| MARQUETTE ADVISORS EIN 36-3485298 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $20K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $17K |
| JONAS GUDJONSSON NONE | Consulting (general); Direct payment from the plan Service code 16 | 1800 MASSACHUSETTS AVE., NW, WASHINGTON, DC 20036 | $13K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $12K |
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 | 5,110 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,110 | 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 | 819 | $4.6M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 27 | $8K |
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 2,445 | $73K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY (SL) | 4,822 | $492K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,822 | — |
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.