| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMERCIAL GROUP INTERMEDIARIES3 | 2356 HASSEL ROAD, SUITE F HOFFMAN ESTATES, IL 60169 | THE UNION LABOR LIFE INSURANCE COMPANY | $16K | — | $16K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFITS MANAGEMENT GROUP INC. EIN 84-1677167 | Contract Administrator Service code 13 | — | $167K |
| BRENDAN BERIGAN | Consulting (general) Service code 16 | 8608 HORTON CIRCLE URBANDALE, IA 50322 | $34K |
| UHY, LLP EIN 20-0694403 | Accounting (including auditing) Service code 10 | — | $21K |
| CEDAR RAPIDS BANK & TRUST EIN 42-1524302 | Custodial (securities); Investment advisory (plan) Service code 19 | — | $19K |
| THE WAGNER LAW GROUP | Legal Service code 29 | 747 THIRD AVENUE NEW YORK, NY 10017 | $13K |
| ROUSE FRETS WHITE GOSS GENTILE EIN 43-1706479 | Legal Service code 29 | — | $9K |
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 | 357 | 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) | 357 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBS OF ILLINOIS | 0 | $2.4M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 365 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 365 | — |
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.