No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEWITT ASSOCIATES EIN 36-2235791 NONE | Contract Administrator Service code 13 | — | $1.4M |
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Contract Administrator Service code 13 | — | $576K |
| AETNA EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $404K |
| VALUE OPTIONS EIN 54-1692863 NONE | Contract Administrator Service code 13 | — | $154K |
| RR DONNELLEY EIN 36-2515832 NONE | Copying and duplicating Service code 36 | — | $101K |
| CIGNA EIN 06-0303370 NONE | Contract Administrator Service code 13 | — | $100K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Contract Administrator Service code 13 | — | $67K |
| VISION SERVICES PLAN EIN 48-2111122 NONE | Contract Administrator Service code 13 | — | $44K |
| ACCENT EIN 20-1802547 NONE | Contract Administrator Service code 13 | — | $29K |
| ALERE EIN 20-0231080 NONE | Contract Administrator Service code 13 | — | $13K |
| UNITED HEALTH CARE EIN 41-1289245 NONE | Contract Administrator Service code 13 | — | $11K |
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 | 1,396 | 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. |
| Total participants (= "Plan participants" tile) | 1,396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | KAISER PERMANENTE | 41 | $282K |
| Life insurance(2 contracts) | PRUDENTIAL LIFE INSURANCE | 2,247 | $4.6M |
| Long-term disability | AETNA LIFE INSURANCE | 1,173 | $888K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,247 | — |
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.
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.