| 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 | $13K | — | $13K | 10.00% |
| VIZANCE, INC.3 Filed as: VIZANCE INC | 1320 WALNUT RIDGE DR STE #200 HARTLAND, WI 53209 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 9.10% |
| BENEFITS ADMINISTRATIVE SYSTEMS3 | 17475 JOVANNA DR HOMEWOOD, IL 604301020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 5.90% |
| VIZANCE, INC.3 Filed as: VIZANCE INC | 1320 WALNUT RIDGE DR STE #200 HARTLAND, WI 53209 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 9.10% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 60430 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 5.91% |
| VIZANCE, INC.3 Filed as: VIZANCE INC | 1320 WALNUT RIDGE DR STE #200 HARTLAND, WI 53209 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $634 | — | $634 | 9.07% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 604301020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $414 | — | $414 | 5.92% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 60430 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $798 | — | $798 | 14.99% |
| VIZANCE, INC.3 Filed as: VIZANCE INC. | 1320 WALNUT RIDGE DR STE #200 HARTLAND, WI 53209 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $191 | — | $191 | 9.11% |
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATIVE SYSTEMS | 17475 JOVANNA DR HOMEWOOD, IL 604301020 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $124 | — | $124 | 5.91% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BAP, LLC PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD, IL 60430 | $102K |
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 | 164 | 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) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE INSURANCE COMPANY | 129 | $134K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 140 | $72K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 140 | $7K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 140 | $18K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 129 | $134K |
| Other(3 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 140 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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.