| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER | 750 WARRENVILLE RD STE 400 LISLE, IL 60532 | BLUECROSS BLUESHIELD OF ILLINOIS | $58K | $4K | $62K | 4.39% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: EMPLOYEE BENEFIT RISK MANAGEMENT | 823 COMMERCE DRIVE #350 OAK BROOK, IL 60523 | BLUECROSS BLUESHIELD OF ILLINOIS | $11K | — | $11K | 0.81% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $48K | — | $48K | 11.57% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER | 750 WARRENVILLE RD SUITE 400 LISLE, IL 60532 | AETNA LIFE INSURANCE COMPANY | $23K | — | $23K | 5.43% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFIT SVCS | 750 WARRENVILLE RD STE 400 LISLE, IL 60532 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $16K | — | $16K | 6.72% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER | 750 WARRENVILLE RD STE 400 LISLE, IL 60532 | DEARBORN LIFE INSURANCE COMPANY | $20K | — | $20K | 15.33% |
| WATCHTOWER BENEFITS, LLC3 Filed as: WATCHTOWER BENEFITS LLC | 2734 NORTH MILDRED AVENUE #3 CHICAGO, IL 60614 | DEARBORN LIFE INSURANCE COMPANY | $2K | — | $2K | 1.50% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $968 | — | $968 | 7.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFIT SVCS | 750 WARRENVILLE RD SUITE 400 LISLE, IL 60532 | TRANSAMERICA LIFE INSURANCE COMPANY | $874 | — | $874 | 6.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 CONTRACTED THIRD PARTY | Other insurance fees and expenses; Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $142K |
| THE BOON INSURANCE EIN 74-2236168 MARKETING AGENT | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $43K |
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 | 720 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 730 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 259 | $1.8M |
| Dental(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 460 | $663K |
| Vision(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 460 | $796K |
| Life insurance(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 460 | $796K |
| Short-term disability(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 460 | $796K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 168 | $133K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 460 | $366K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 460 | — |
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.