| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID THOMPSON3 | 120 W CARROLL ST MACOMB, IL 61455 | HCC LIFE INSURANCE COMPANY | $40K | — | $40K | 10.50% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INCORPORATED | 111 E DECATUR ST DECATUR, IL 62521 | HCC LIFE INSURANCE COMPANY | $11K | — | $11K | 3.00% |
| DAVID THOMPSON3 | 120 W CARROLL ST MACOMB, IL 61455 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $418 | — | $418 | 10.00% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INCORPORATED | 111 E DECATUR ST DECATUR, IL 62521 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $209 | — | $209 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DANSIG INCORPORATED | Claims processing Service code 12 | 111 E DECATUR ST DECATUR, IL 62521 | $21K |
| HEALTHLINK, INC. PPO NETWORK PROGRAM | Other services Service code 49 | 1831 CHESTNUT STREET ST LOUIS, MO 63141 | $14K |
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 | 122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 120 | $4K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 129 | $379K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 120 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 129 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.