| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GAM INSURANCE AGENCY INC | 113 REPUBLIC AVE JOLIET, IL 60435 | DEARBORN LIFE INSURANCE | $5K | — | $5K | 3.74% |
| STERLING BENEFIT ADVISORS3 | 1428 N POTTER RD PARK RIDGE, IL 60068 | BENISTAR | $800 | — | $800 | 4.25% |
| TIMOTHY TUFT3 | 5536 N FAIRMONT DR PEORIA, IL 61614 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $310 | — | $310 | 5.01% |
| TIMOTHY TUFT3 | 5536 N FAIRMONT DR PEORIA, IL 61614 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $224 | — | $224 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| IATSE LOCAL UNION 780 RELATED UNION | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 6301 N NORTHWEST HIGHWAY CHICAGO, IL 60631 | $156K |
| ALLIED BENEFIT SYSTEMS, INC EIN 36-3086057 NONE | Claims processing Service code 12 | 200 WEST ADAMS STREET, SUITE 500 CHICAGO, IL 60606 | $62K |
| GARY E. GROSS LAW OFFICES NONE | Legal Service code 29 | 201 BLACKSTONE AVE LAGRANGE, IL 60525 | $34K |
| CALIBRE CPA GROUP PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | 566 W LAKE ST CHICAGO, IL 60661 | $24K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment advisory (plan) Service code 27 | — | $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 | 750 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 753 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 2 carriers) | DEARBORN LIFE INSURANCE | 517 | $134K |
| Prescription drug | BENISTAR | 3 | $19K |
| Stop-loss / reinsurancereinsurance | GREAT MIDWEST INSURANCE COMPANY | 106 | $70K |
| Other(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE | 517 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 517 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.