| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMERCIAL GROUP INTERMEDIARIES3 | 19 ILLINOIS AVENUE SCHAUMBURG, IL 60193 | AMALGAMATED LIFE INSURANCE COMPANY | $14K | — | $14K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH CARE SERVICE CORP (BCBS) EIN 36-1236610 NONE | Other insurance fees and expenses; Claims processing Service code 12 | — | $107K |
| BENEFITS MANAGEMENT GROUP EIN 20-0188125 NONE | Plan Administrator Service code 14 | — | $95K |
| MARATHON HEALTH EIN 26-0103977 NONE | Claims processing Service code 12 | — | $82K |
| JAMES V. GALLERY & ASSOCIATE EIN 20-0188135 NONE | Consulting (general) Service code 16 | — | $60K |
| UNION EYES EIN 83-3067276 NONE | Claims processing Service code 12 | — | $42K |
| ASB CAPITAL MANAGEMENT LLC EIN 80-0618452 NONE | Investment management Service code 28 | — | $28K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $25K |
| BLUEGRASS HEALTH SOLUTIONS, LLC EIN 38-4251369 | Consulting (general) Service code 16 | — | $8K |
| GREGORIO, STEC, KLEIN & HOSE EIN 99-0408958 NONE | Legal Service code 29 | — | $6K |
| SAV-RX EIN 86-1323040 NONE | Claims processing Service code 12 | — | $6K |
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 | 174 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 181 | $35K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 174 | $278K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 181 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.