| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LUNDSTROM INSURANCE AGENCY3 Filed as: LUNDSTROM INSURANCE AGENCY, INC. | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | BLUECROSS BLUESHIELD OF ILLINOIS | $75K | $3K | $79K | 13.84% |
| LUNDSTROM INSURANCE AGENCY3 Filed as: LUNDSTROM INSURANCE AGENCY, INC. | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 10.00% |
| LUNDSTROM INSURANCE AGENCY3 Filed as: LUNDSTROM INSURANCE AGENCY, INC. | 2205 POINT BLVD STE 200 ELGIN, IL 601237840 | VISION SERVICE PLAN | $1K | — | $1K | 4.45% |
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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 523 | $567K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 182 | $133K |
| Vision | VISION SERVICE PLAN | 153 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 523 | — |
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.