| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER INSURANCE | 750 WARRENVILLE ROAD #400 LISLE, IL 60532 | QBE INSURANCE CORPORATION | $15K | — | $15K | 11.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER INSURANCE | 750 WARRENVILLE ROAD #400 LISLE, IL 60532 | THE GUARDIAN LIFE INSURANCE CO OF AMERICA | $6K | — | $6K | 12.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER INSURANCE | 750 WARRENVILLE ROAD #400 LISLE, IL 60532 | THE GUARDIAN LIFE INSURANCE CO OF AMERICA | — | $3K | $3K | 5.76% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ALLIED BENEFIT SYSTEMS INC EIN 36-3086057 TPA | Contract Administrator Service code 13 | 200 W ADAMS ST SUITE 500 CHICAGO, IL 60606 | $30K |
| CONNOR & GALLAGHER INSURANCE EIN 04-3831656 BROKER | Insurance agents and brokers Service code 22 | 750 WARRENVILLE ROAD #400 LISLE, IL 60532 | $22K |
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 | 108 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | QBE INSURANCE CORPORATION | 108 | $137K |
| Life insurance(2 contracts) | THE GUARDIAN LIFE INSURANCE CO OF AMERICA | 110 | $95K |
| Long-term disability(2 contracts) | THE GUARDIAN LIFE INSURANCE CO OF AMERICA | 110 | $95K |
| Prescription drug | QBE INSURANCE CORPORATION | 108 | $137K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE CORPORATION | 108 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 110 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.