| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADMINISTRATION SYSTEMS, LLC3 | 17475 JOVANNA DRIVE, SUITE 1B HOMEWOOD, IL 60430 | COMPANION LIFE INSURANCE COMPANY | $53K | — | $53K | 15.00% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 60430 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 15.00% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 60430 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 15.00% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 60430 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $992 | — | $992 | 15.00% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 60430 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $300 | — | $300 | 15.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ADMINISTRATION SYSTEMS, LLC THIRD PARTY ADMIN | Plan Administrator Service code 14 | 17475 JOVANNA DRIVE, SUITE 1B HOMEWOOD, IL 60430 | $100K |
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 | 148 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE INSURANCE COMPANY | 150 | $355K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 159 | $57K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 159 | $7K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 159 | $17K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 150 | $355K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 159 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 159 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.