| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | SUN LIFE ASSURANCE COMPANY OF CANADA | $102K | — | $102K | 4.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2345 GRAND BOULEVARD, SUITE 400 KANSAS CITY, MO 64108 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $48K | $48K | 1.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 WEST GOLF ROAD, 11TH FLOOR ROLLING MEADOWS, IL 60008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $23K | $23K | 1.16% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 8117 PRESTON ROAD, SUITE 530 DALLAS, TX 75225 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 0.58% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 3600 AMERICAN BOULEVARD WEST SUITE 500 BLOOMINGTON, MN 55431 | RELIASTAR LIFE INSURANCE COMPANY | $75K | — | $75K | 20.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | RELIASTAR LIFE INSURANCE COMPANY | — | $8K | $8K | 2.18% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | BCS INSURANCE COMPANY | $16K | — | $16K | 5.00% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | AETNA LIFE INSURANCE COMPANY | — | $4K | $4K | 1.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | HYATT LEGAL PLANS | $8K | — | $8K | 9.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | HYATT LEGAL PLANS | — | $105 | $105 | 0.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 MEDICAL PROVIDER | Contract Administrator; Direct payment from the plan Service code 13 | — | $2.3M |
| CONDUENT HR SERVICES, LLC EIN 81-2983623 CONTRACT ADMINISTRATOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.8M |
| MARATHON HEALTH EIN 26-0103977 OTHER SERVICES | Other fees; Other services; Direct payment from the plan Service code 49 | — | $192K |
| LOCKTON DUNNING EIN 20-3354970 CONSULTANT | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $132K |
| MAGELLAN HEALTHCARE - EAP EIN 52-2135463 MEDICAL | Insurance services; Direct payment from the plan Service code 23 | — | $123K |
| AETNA DENTAL EIN 06-6033492 DENTAL PROVIDER | Insurance services; Direct payment from the plan Service code 23 | — | $103K |
| SELF INSURED STD EIN 01-0278678 PARTICIPANT RESOURCE | Direct payment from the plan; Contract Administrator Service code 13 | — | $94K |
| PAYFLEX FSA COBRA EIN 91-1774434 MEDICAL | Claims processing; Direct payment from the plan Service code 12 | — | $39K |
| BLUE CROSS BLUE SHIELD COBRA EIN 36-1236610 MEDICAL | Direct payment from the plan; Insurance services Service code 23 | — | $26K |
| PC PARTNER COMM, INC. EIN 75-2541310 COMMUNICATIONS | Direct payment from the plan; Participant communication Service code 38 | — | $16K |
| WELLS FARGO INSURANCE SERVICES EIN 94-1347393 TRUSTEE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $13K |
| ABCO, INC. EIN 75-0940723 OTHER SERVICES | Other fees; Other services; Direct payment from the plan Service code 49 | — | $11K |
| PASSPORT HEALTH EIN 20-8480879 MEDICAL | Direct payment from the plan; Insurance services Service code 23 | — | $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 | 14,055 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 101 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 1,594 | $319K |
| Vision | VISION SERVICE PLAN | 3,733 | $635K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 13,654 | $2.5M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,062 | $2.0M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,062 | $2.0M |
| Stop-loss / reinsurancereinsurance | BCS INSURANCE COMPANY | 4,300 | $328K |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 13,654 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,654 | — |
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."
No prospect flags tripped on this filing.