| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CFM INSURANCE AGENCY3 Filed as: CFM INSURANCE INC | 50 N BROCKWAY ST STE 5-2 PALATINE, IL 60067 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $81K | — | $81K | 6.82% |
| CFM INSURANCE AGENCY3 Filed as: CFM INSURANCE INC | 50 N BROCKWAY ST STE 5-2 PALATINE, IL 600675091 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | — | $15K | 10.00% |
| CFM INSURANCE AGENCY3 Filed as: CFM INSURANCE INC | 50 N BROCKWAY ST STE 5-2 PALATINE, IL 600675091 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 15.00% |
| CFM INSURANCE AGENCY3 Filed as: CFM INSURANCE INC | 50 N BROCKWAY ST STE 5-2 PALATINE, IL 600675091 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Non-monetary compensation; Claims processing; Other services; Float revenue; Named fiduciary; Participant communication; Contract Administrator; Direct payment from the plan Service code 12 | — | $669K |
| AMERIFLEX NONE | Other services Service code 49 | 2508 HIGHLANDER WAY CARROLLTON, TX 75006 | $23K |
| CIGNA | Other services; Float revenue; Contract Administrator; Named fiduciary; Non-monetary compensation; Claims processing; Participant communication; Direct payment from the plan Service code 12 | — | $0 |
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 | 428 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 442 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 646 | $1.2M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 646 | $1.2M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 428 | $152K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 428 | $70K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 428 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 646 | — |
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.