Form 5500 · Employee benefit plan · WESTCHESTER, IL
QTI HUMAN RESOURCES, INC.
The filing calls this plan QTI HUMAN RESOURCES, INC. EMPLOYEE BENEFITS PLAN.
QTI HUMAN RESOURCES, INC. of WESTCHESTER, IL spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BENEFITS SOLUTIONS GROUP, LLC. Coverage is written through QUARTZ HEALTH BENEFIT PLANS CORPORATION and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1817512 · plan 508 · plan year 2023, filed Jul 2, 2024
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
2,668 other employer plans in Illinois have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with QUARTZ HEALTH BENEFIT PLANS CORPORATION, covers 1,696 people.
Reported premium across the insured contracts is $12,978,961, with $449,117 in disclosed broker commissions — about 3.5% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in August. The plan is on a split renewal cycle.
BENEFITS SOLUTIONS GROUP, LLC is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including QUARTZ HEALTH BENEFIT PLANS CORPORATION, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and METROPOLITAN LIFE INSURANCE COMPANY. QUARTZ HEALTH BENEFIT PLANS CORPORATION writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 1,518 | Sep 1, 2023 | $1,580,754 | $253,189 |
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | Health | 1,696 | Jan 1, 2024 | $11,396,342 | $195,204 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 3 | Jan 1, 2024 | $1,865 | $724 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
How this plan compares
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Renewal calendar
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