| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INSURANCE GR | 1300 W. HIGGINS, SUITE 208 PARK RIDGE, IL 60068 | GERBER LIFE INSURANCE CARRIER | $233K | — | $233K | 11.00% |
| ELITE ADMINISTRATION3 | 1211 W 22ND ST, STE 820 OAK BROOK, IL 60523 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $18K | $11K | $30K | 7.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD EIN 36-1236610 NONE | Claims processing Service code 12 | — | $963K |
| ELITE ADMINISTRATION EIN 36-2238689 NONE | Claims processing; Insurance brokerage commissions and fees Service code 12 | — | $409K |
| LOCAL 3 SALES PENSION EIN 36-6527340 RELATED FUND | Other services Service code 49 | — | $130K |
| SAV-RX EIN 47-0527013 NONE | Contract Administrator Service code 13 | — | $126K |
| LOCAL 3 UNION EIN 36-4044987 RELATED UNION | Other services Service code 49 | — | $89K |
| HOPE EMPLOYEE ASSISTANCE EIN 36-3724404 NONE | Other fees Service code 99 | — | $72K |
| MEDCARE MANAGEMENT EIN 88-0429522 NONE | Consulting (general) Service code 16 | — | $60K |
| CALIBRE CPA GROUP EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $42K |
| DENTAL NETWORK OF AMERICA EIN 36-3339483 NONE | Claims processing Service code 12 | — | $20K |
| KEEBECK WEALTH MANAGEMENT EIN 83-0689199 NONE | Investment management fees paid directly by plan Service code 51 | — | $19K |
| FIRST MIDWEST BANK NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | 180 N LA SALLE ST SUITE 2101 CHICAGO, IL 60602 | $11K |
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 | 2,018 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,018 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 2,018 | $388K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 2,018 | $388K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE CARRIER | 1,982 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,018 | — |
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.