| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| R W GARRETT AGENCY4 Filed as: RW GARRETT AGENCY | 2201 WOODLAWN LINCOLN, IL 62656 | HEALTH CARE SERVICE CORPORATION | — | $1K | $1K | 0.04% |
| R W GARRETT AGENCY3 Filed as: RW GARRETT AGENCY | 2201 WOODLAWN LINCOLN, IL 62656 | DEARBORN LIFE INSURANCE COMPANY | — | $12K | $12K | 4.99% |
| COTTINGHAM & BUTLER6 Filed as: COTTINGHAM AND BUTLER INS SERVICES | 800 MAIN ST DUBUQUE, IA 52001 | DEARBORN LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM AND BUTLER INSURANCE SER | 800 MAIN ST DUBUQUE, IA 52001 | HEALTH CARE SERVICE CORPORATION | $16K | — | $16K | 9.98% |
| R W GARRETT AGENCY3 Filed as: RW GARRETT AGENCY | 2201 WOODLAWN LINCOLN, IL 62656 | HEALTH CARE SERVICE CORPORATION | — | — | $0 | 0.00% |
No Schedule C service providers reported on this filing.
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 | 324 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 17 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 344 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 521 | $3.9M |
| Dental | HEALTH CARE SERVICE CORPORATION | 504 | $159K |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 324 | $237K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 324 | $237K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 324 | $237K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 324 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 521 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.