No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Contract Administrator Service code 13 | 300 EAST RANDOLPH ST CHICAGP, IL 60601 | $172K |
| SOUTHERN BENEFIT ADMINISTRATORS INC EIN 62-1116095 NONE | Consulting (general); Contract Administrator Service code 13 | P. O. BOX 1449 GOODLETTSVILLE, TN 37070 | $131K |
| ROBEIN, URANN, SPENCER, PICARD EIN 72-0999672 NONE | Legal Service code 29 | 2540 SEVERN AVE, STE 400 METAIRE, LA 70002 | $29K |
| DENNIS G.JENKINS, CPA,LLC EIN 20-5886120 NONE | Accounting (including auditing) Service code 10 | 1690 STONE VILLAGE LN STE 501 KENNESAW, GA 30152 | $12K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial Service code 11 | 11590 NORTH MERIDIAN ST CARMEL, IN 46032 | $5K |
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 | 390 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINIOS | 470 | $3.0M |
| Dental | BLUE CROSS BLUE SHIELD OF ILLINIOS | 470 | $3.0M |
| Life insurance | BOSTON MUTUAL LIFE INSURANCE | 390 | $26K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ILLINIOS | 470 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 470 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.