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 STREET CHICAGO, IL 60601 | $460K |
| AMERIBEN NONE | Plan Administrator Service code 14 | P.O. BOX 860007 PLANO, TX 75086 | $245K |
| CONNERS & WINTERS LLP EIN 73-1388566 NONE | Legal Service code 29 | 1001 MCKINNEY ST. STE 550 HOUSTON, TX 77002 | $85K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Claims processing Service code 12 | 100 W. OLD WILSON BRIDGE WORTHINGTON, OH 43085 | $82K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing Service code 12 | ONE EXPRESS WAY ST. LOUIS, MO 63121 | $71K |
| RYAN BENEFITS, INC. NONE | Consulting (general) Service code 16 | 1100 MIRA VISTA BLVD, 350 PLANO, TX 75093 | $62K |
| SOUTHWEST SERVICE ADMINISTRATORS NONE | Plan Administrator Service code 14 | 2300 BUENA VISTA DR SE127 505-265-8422 ALBUQUERQUE, NM 87106 | $22K |
| MORGAN STANLEY EIN 26-4310632 NONE | Investment management Service code 28 | 1400 CIVIC PLACE STE 200 SOUTHLAKE, TX 76092 | $18K |
| DANIELS IRWIN & AYLOR EIN 62-1802605 NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST. STE 112 MADISON, TN 37115 | $13K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial Service code 11 | 11590 N. MERIDIAN ST. 610 CARMEL, IN 460324529 | $8K |
| WELLS FARGO NONE | Custodial (other than securities) Service code 18 | P.O. BOX 6995 800-225-5935 PORTLAND, OR 972286995 | $5K |
| MUTUAL & EXCHANGE TRADED FUNDS NONE | Investment management; Custodial (securities) Service code 19 | — | $0 |
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 | 1,172 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 67 | 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) | 1,239 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 1,239 | $8.6M |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,239 | $65K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | U.S. FIRE INSURANCE COMPANY | 1,239 | $733K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,239 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.