| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GLOBAL BENEFITS INC3 Filed as: GLOBAL BENEFITS, INC. | 570 LAKE COOK RD, SUITE 106 DEERFIELD, IL 60015 | COMPANION LIFE INSURANCE COMPANY | $107K | — | $107K | 13.04% |
| GLOBAL BENEFITS INC3 Filed as: GLOBAL BENEFITS, INC. | 570 LAKE ROAD, SUITE 106 DEERFIELD, IL 60015 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $37K | — | $37K | 13.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR. INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $256K |
| GLOBAL BENEFITS, INC. EIN 36-4254547 BROKER | Other commissions Service code 55 | 570 LAKE COOK RD, SUITE 106 DEERFIELD, IL 60015 | $34K |
| CVS CAREMARK EIN 05-0340626 PHARMACY BENEFIT MGMT | Float revenue; Other fees; Direct payment from the plan; Claims processing Service code 12 | ONE CVS DRIVE WOONSOCKET, RI 02895 | $3K |
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 | 362 | 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) | 362 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF ILLINOIS | 390 | $22K |
| Vision | VISION SERVICE PLAN | 394 | $103K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 459 | $282K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 459 | $282K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 459 | $282K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 364 | $824K |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 459 | $282K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 459 | — |
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.