| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMERCIAL GROUP INTERMEDIARIES3 | 2356 HASSELL ROAD, SUITE F HOFFMAN ESTATES, IL 60169 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $32K | — | $32K | 5.00% |
| COMMERCIAL GROUP INTERMEDIARIES3 | 16 EXECUTIVE CT., SUITE 4 SOUTH BARRINGTON, IL 60010 | THE UNION LABOR LIFE INSURANCE COMPANY | $509 | — | $509 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFITS MANAGEMENT GROUP INC. EIN 20-0188125 NONE | Plan Administrator Service code 14 | 150 1ST AVENUE EAST CEDAR RAPIDS, IA 52401 | $144K |
| HMC COMPANIES EIN 75-3189468 NONE | Other services Service code 49 | 181 COMMODORE DR JUPITER, FL 33477 | $36K |
| JAMES GALLERY & ASSOCIATES EIN 20-0188135 NONE | Consulting (general) Service code 16 | 903 COMMERCE DR OAK BROOK, IL 60523 | $30K |
| LWBJ,LLP EIN 42-1462849 NONE | Accounting (including auditing) Service code 10 | 4200 UNIVERSITY AVE., SUITE 410 WEST DES MOINES, IA 50266 | $19K |
| GERMAINE LAW FIRM NONE | Legal Service code 29 | 600 3RD ST SE SUITE 200 CEDAR RAPIDS, IA 52401 | $17K |
| CEDAR RAPIDS BANK & TRUST NONE | Custodial (securities) Service code 19 | 500 1ST AVE NE, STE 100 CEDAR RAPIDS, IA 52401 | $13K |
| BRADLEY HAUGE, CPA EIN 45-5512453 NONE | Accounting (including auditing) Service code 10 | 4807 MARY GREEN CT NE CEDAR RAPIDS, IA 52401 | $13K |
| OPTUM RX NONE | Claims processing Service code 12 | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $8K |
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 | 408 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 408 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 408 | $3.5M |
| Dental | DELTA DENTAL | 361 | $8K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 394 | $10K |
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE COMPANY | 408 | $636K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 394 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 408 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.