| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GLOBAL BENEFIT, INC.3 | 570 LAKE COOK RD, SUITE 106 DEERFIELD, IL 60015 | COMPANION LIFE INSURANCE COMPANY | $72K | — | $72K | 11.39% |
| GLOBAL BENEFITS INC3 | 1512 ARTAIUS PARKWAY STE 101 LIBERTYVILLE, IL 60048 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $27K | $7K | $35K | 17.46% |
| GLOBAL BENEFITS INC3 Filed as: GLOBAL BENEFITS, INC. | 570 LAKE COOK RD STE 106 DEERFIELD, IL 600154910 | VISION SERVICE PLAN | $2K | — | $2K | 2.80% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MGMT | Direct payment from the plan; Claims processing; Other fees; Float revenue Service code 12 | — | $465K |
| UMR. INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $195K |
| GLOBAL BENEFITS, INC. EIN 36-4254547 BROKER | Other commissions Service code 55 | 570 LAKE COOK RD, SUITE 106 DEERFIELD, IL 60015 | $28K |
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 | 335 | 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) | 335 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF ILLINOIS | 306 | $14K |
| Vision | VISION SERVICE PLAN | 304 | $77K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 339 | $199K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 339 | $199K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 339 | $199K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 293 | $630K |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 339 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 339 | — |
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.