| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS | 6952 ROTE RD ROCKFORD, IL 61112 | SUN LIFE ASSURANCE OF CANADA | $18K | — | $18K | 14.39% |
| WATCH TOWER TECHNOLOGIES INC3 Filed as: WATCH TOWER TECHNOLOGIES | 306 W ERIE ST SUITE 300 CHICAGO, IL 60654 | SUN LIFE ASSURANCE OF CANADA | $2K | — | $2K | 1.64% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | SUN LIFE ASSURANCE OF CANADA | $310 | — | $310 | 0.25% |
| BIEHN EDWARD C3 Filed as: BIEHN EILEEN | 1516 S MARSHALL ST BOONE, IA 50036 | ALLSTATE | $5K | — | $5K | 5.46% |
| SHANE MICHAEL E3 Filed as: SHANE MICHAEL | 1516 S MARSHALL ST BOONE, IA 50036 | ALLSTATE | $4K | — | $4K | 3.95% |
| BIEHN EDWARD C3 | 1516 S MARSHALL ST BOONE, IA 50036 | ALLSTATE | $2K | — | $2K | 2.01% |
| PIKLAPP GREGORY K3 Filed as: PIKLAPP GREG | 1516 S MARSHALL ST BOONE, IA 50036 | ALLSTATE | $281 | — | $281 | 0.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GROUP ADMINISTRATORS, LTD. EIN 36-3381052 | Claims processing Service code 12 | 20 N MARTINGALE SUITE 290 SCHAUMBURG, IL 60173 | $189K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 | Other fees Service code 99 | 6400 SE LAKE RD PORTLAND, OR 97222 | $29K |
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 | 775 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 775 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE ASSURANCE OF CANADA | 775 | $123K |
| Short-term disability | ALLSTATE | 118 | $91K |
| Long-term disability | SUN LIFE ASSURANCE OF CANADA | 775 | $123K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 426 | $297K |
| Other | SUN LIFE ASSURANCE OF CANADA | 775 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 775 | — |
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.