No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $2.2M |
| HEWITT ASSOCIATES EIN 36-2235791 NONE | Contract Administrator Service code 13 | — | $820K |
| VALUE OPTIONS EIN 54-1692863 NONE | Contract Administrator Service code 13 | — | $245K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Contract Administrator Service code 13 | — | $188K |
| BLUE CROSS BLUE SHEILD OF ILLINOIS EIN 36-1236610 NONE | Contract Administrator Service code 13 | — | $72K |
| VISION SERVCE PLAN EIN 48-2111122 NONE | Contract Administrator Service code 13 | — | $70K |
| RR DONNELLEY EIN 36-2515832 NONE | Copying and duplicating Service code 36 | — | $38K |
| ALERE EIN 20-0231080 NONE | Contract Administrator Service code 13 | — | $28K |
| CIGNA EIN 06-0303370 NONE | Contract Administrator Service code 13 | — | $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 | 7,678 | 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) | 7,678 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER PERMANENTE | 70 | $713K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 70 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.