| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $269K | — | $269K | 12.93% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $23K | — | $23K | 17.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $5K | — | $5K | 17.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $3K | — | $3K | 15.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $2K | — | $2K | 17.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $766 | — | $766 | 10.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUTIE 300 DEER PARK, IL 60010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 17.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CCA, INC EIN 13-3402780 ADMINISTRATOR | Contract Administrator Service code 13 | — | $51K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 ADMINISTRATOR | Non-monetary compensation; Float revenue; Participant communication; Direct payment from the plan; Named fiduciary; Claims processing; Contract Administrator; Other services Service code 12 | — | $42K |
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 | 1,874 | 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) | 1,874 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,884 | $2.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,884 | $2.1M |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 2,053 | $306K |
| Life insurance(3 contracts) | CIGNA LIFE INSURANCE CO. OF NEW YORK | 1,874 | $58K |
| Short-term disability(2 contracts, 2 carriers) | CIGNA LIFE INSURANCE CO. OF NEW YORK | 347 | $13K |
| Long-term disability | CIGNA LIFE INSURANCE CO. OF NEW YORK | 1,874 | $133K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,884 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,884 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.