Form 5500 · Employee benefit plan · WESTCHESTER, IL
TANDEM HR, LLC
The filing calls this plan TANDEM HR HEALTH & WELFARE BENEFITS PLAN.
TANDEM HR, LLC of WESTCHESTER, IL is a 2,743-participant administrative and support services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is BENEFITS SOLUTIONS GROUP, LLC. Coverage is written through HEALTH CARE SERVICE CORPORATION and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-3968652 · plan 503 · plan year 2023, filed Mar 26, 2024
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125 other employer plans in Illinois have policy years ending in August. 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.
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 2 insured contracts covering health, dental, vision and life; the largest, with HEALTH CARE SERVICE CORPORATION, covers 3,200 people.
Reported premium across the insured contracts is $22,138,494, with $1,614,512 in disclosed broker commissions — about 7.3% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
BENEFITS SOLUTIONS GROUP, LLC is the broker of record on all 2 contracts.
Two carriers split the book: HEALTH CARE SERVICE CORPORATION and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HEALTH CARE SERVICE CORPORATION | Health | 3,200 | Sep 1, 2023 | $19,494,294 | $1,242,729 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life | 5,672 | Sep 1, 2023 | $2,644,200 | $371,783 |
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
125 other employer plans in Illinois are September 1 renewals (policy year ends August).
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