| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PLANNING ASSOCIATES3 Filed as: BENEFIT PLANNING ASSOC, INC | 722 IAA DR BLOOMINGTON, IL 61702 | HCSC | $76K | $4K | $80K | 4.08% |
| MARK TELLKAMP3 | PO BOX 1582 LA SALLE, IL 61301 | STANDARD INSURANCE COMPANY | $28K | — | $28K | 10.50% |
| BANKERS BENEFIT SOURCE, INC.3 Filed as: BANKERS BENEFIT SOURCE INC | 613 FIRST ST LASALLE, IL 61301 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 1.55% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMIN INC | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 0.67% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.67% |
| FIRST STATE INSURANCE LLC3 Filed as: FIRST STATE INSURANCE | PO BOX 497 MENDOTA, IL 61342 | HARTFORD LIFE AND ACCIDENT | $588 | — | $588 | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $203 | $203 | — |
No Schedule C service providers reported on this filing.
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 | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCSC | 310 | $2.0M |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 206 | $269K |
| Vision(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 206 | $269K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 206 | $269K |
| Long-term disability | STANDARD INSURANCE COMPANY | 206 | $269K |
| Prescription drug | HCSC | 310 | $2.0M |
| Other | HARTFORD LIFE AND ACCIDENT | 187 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.