| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE 178 PLYMOUTH, MI 55447 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 16.84% |
| HOLMES MURPHY & ASSOCIATES3 | 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $834 | — | $834 | 2.79% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $689 | $689 | 2.31% |
| HOLMES MURPHY & ASSOCIATES3 | ATTN OPERATING ACCOUNT DES MOINES, IA 50302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $371 | $371 | 1.24% |
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE 178 PLYMOUTH, MN 55447 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.19% |
| HOLMES MURPHY & ASSOCIATES3 | 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $362 | — | $362 | 2.80% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $291 | $291 | 2.25% |
| HOLMES MURPHY & ASSOCIATES3 | ATTN OPERATING ACCOUNT DES MOINES, IA 50302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $180 | $180 | 1.39% |
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE 178 PLYMOUTH, MN 55447 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 12.67% |
| HOLMES MURPHY & ASSOCIATES3 | 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $264 | — | $264 | 2.33% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $256 | $256 | 2.26% |
| HOLMES MURPHY & ASSOCIATES3 | ATTN OPERATING ACCOUNT DES MOINES, IA 50302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $157 | $157 | 1.39% |
| 20-20 ADVISOR GROUP DBA ELEVATE ADV3 | 3500 VICKSBURG LN MINNEAPOLIS, MN 55447 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $713 | — | $713 | 12.44% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES LLC | 225 S 6TH ST STE 1900 MINNEAPOLIS, MH 55402 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $205 | — | $205 | 3.58% |
| 20/20 ADVISOR GROUP3 | 3500 VICKSBURG LANE 178 PLYMOUTH, MN 55447 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $532 | — | $532 | 16.13% |
| HOLMES MURPHY & ASSOCIATES3 | 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $97 | — | $97 | 2.94% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $74 | $74 | 2.24% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURHPHY & ASSOCIATES | ATTN OPERATING ACCOUNT DES MOINES, IA 50302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $48 | $48 | 1.46% |
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 | 94 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 91 | $7K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 87 | $6K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 94 | $30K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 75 | $11K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 96 | $13K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 94 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 96 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.