| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDUCATIONAL & INSTITUTIONAL INS ADM3 | 200 S WACKER DR STE 1000 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 12.00% |
| EIIA HIGHER EDUCATION BENEFIT TRUST3 | 200 S WACKER DR STE 1000 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | — | $3K | $3K | 10.28% |
| EDUCATIONAL & INSTITUTIONAL INS ADM3 | 200 S WACKER DR STE 1000 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 19.25% |
| EIIA HIGHER EDUCATION BENEFIT TRUST3 | 200 S WACKER DR STE 1000 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 7.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHGRAM, INC. EIN 56-1449504 | Other fees Service code 99 | — | $61K |
| CIGNA EIN 59-1031071 | Other fees Service code 99 | — | $30K |
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 | 296 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 296 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 183 | $10K |
| Vision | EYEMED VISION CARE | 286 | $16K |
| Life insurance | STANDARD INSURANCE COMPANY | 257 | $28K |
| Long-term disability | STANDARD INSURANCE COMPANY | 158 | $25K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 296 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 296 | — |
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.