No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing Service code 12 | 300 E RANDOLPH ST CHICAGO, IL 60601 | $530K |
| ERISA ADMINISTRATORS LLC EIN 75-2915587 NONE | Plan Administrator Service code 14 | P.O. BOX 860007 PLANO, TX 75086 | $319K |
| IEC GROUP DBA AMERIBEN EIN 82-0497661 NONE | Plan Administrator Service code 14 | P.O. BOX 860007 PLANO, TX 75086 | $220K |
| HEALTHSMART EIN 75-2508316 NONE | Claims processing Service code 12 | 222 WEST LAS COLINAS IRVING, TX 75039 | $98K |
| THE SEGAL COMPANY EIN 13-2619259 NONE | Consulting (general) Service code 16 | 6575 WEST LOOP SOUTH 610 BELLAIRE, TX 77401 | $44K |
| ROBEIN, URANN, SPENCER, PICARD APLC EIN 72-0999672 NONE | Legal Service code 29 | 2540SEVERN AVE STE 400 METAIRIE, LA 70002 | $21K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Account maintenance fees; Custodial (securities); Distribution (12b-1) fees; Sales loads (front end and deferred); Investment management Service code 19 | 1285 AVENUE OF THE AMERIC NEW YORK, NY 10019 | $20K |
| DANIELS, IRWIN & AYLOR EIN 62-1802605 NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST STE 112 MADISON, TN 37115 | $13K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Custodial (other than securities) Service code 18 | 1445 ROSS AVE., 2ND FLOOR DALLAS, TX 75202 | $10K |
| NEEDLES & ASSOCIATES LLC EIN 51-0435869 NONE | Accounting (including auditing) Service code 10 | 350 INTERLOCKEN BLVD 220 BROOMFIELD, CO 80021 | $6K |
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 | 2,105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 2,105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 2,105 | $12.5M |
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 2,105 | $122K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 2,105 | $402K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,105 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.