| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TEDRICK EMPLOYEE BENEFITS INC3 | PO BOX 983 MT VERNON, IL 62864 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 14.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.81% |
| TEDRICK EMPLOYEE BENEFITS INC3 | PO BOX 983 422 WAUPONSEE ST MT VERNON, IL 62864 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $1K | $5K | 25.67% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 6.52% |
| TEDRICK EMPLOYEE BENEFITS INC3 | PO BOX 983 MT VERNON, IL 62864 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 6.50% |
| TEDRICK EMPLOYEE BENEFITS INC3 | PO BOX 983 MT VERNON, IL 62864 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| TEDRICK EMPLOYEE BENEFITS INC3 | PO BOX 983 MT VERNON, IL 62864 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $1K | $2K | 38.18% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $369 | $369 | 6.65% |
| TEDRICK EMPLOYEE BENEFITS INC3 | PO BOX 983 MT VERNON, IL 62864 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $213 | — | $213 | 20.02% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $73 | $73 | 6.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CONSOCIATE HEALTH GROUP EIN 37-1351918 NONE | Claims processing; Other services; Plan Administrator Service code 12 | 2828 NORTH MONROE ST DECATUR, IL 62526 | $45K |
| MULIT-PLAN HST EIN 13-3068979 NONE | Other services; Plan Administrator; Claims processing Service code 12 | PO BOX 29380 GENERAL POST OFFICE NEW YORK, NY 10087 | $27K |
| TEDRICK EMPLOYEE BENEFITS INC EIN 36-4178615 NONE | Insurance agents and brokers Service code 22 | 2828 NORTH MONROE ST DECATUR, IL 62526 | $26K |
| PRECEDENCE HEALTH EIN 37-1288604 NONE | Other services; Claims processing Service code 12 | 1409EAST KIMBERLEY ROAD DAVENPORT, IA 52805 | $3K |
| HEALTHCARE BLUE BOOK COMPLIANCE EIN 46-4399706 NONE | Accounting (including auditing); Other services Service code 10 | 3300 FRANKLIN ROAD SUITE 135A BRENTWOOD, TN 37027 | $3K |
| PHIA HEALTH GROUP CONSULTING EIN 04-3504115 NONE | Other services; Claims processing Service code 12 | PO BOX 499 CANTON, MA 02021 | $3K |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 122 | $28K |
| Vision | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 109 | $11K |
| Life insurance(3 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 191 | $24K |
| Short-term disability(3 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 191 | $24K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 86 | $16K |
| Stop-loss / reinsurancereinsurance | SKYWARD SPECIALTY INSURANCE | 104 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.