| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMERCIAL GROUP INTERMEDIARIES3 | 2356 HASSELL ROAD, SUITE F HOFFMAN ESTATES, IL 60169 | THE UNION LABOR LIFE INSURANCE COMPANY | $44K | — | $44K | 5.00% |
| AGENT INFORMATION3 | 19 ILLINOIS AVE SCHAUMBURG, IL 60193 | THE UNION LABOR LIFE INSURANCE COMPANY | $589 | — | $589 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFITS MANAGEMENT GROUP INC. EIN 20-0188125 NONE | Plan Administrator Service code 14 | 1520 KENSINGTON RD, SUITE 200 OAK BROOK, IL 60523 | $165K |
| JAMES GALLERY & ASSOCIATES EIN 20-0188135 NONE | Consulting (general) Service code 16 | 903 COMMERCE DR OAK BROOK, IL 60523 | $32K |
| UHY, LLP EIN 20-0694403 NONE | Accounting (including auditing) Service code 10 | 4200 UNIVERSITY AVE., SUITE 410 WEST DES MOINES, IA 50266 | $23K |
| BRADLEY HAUGE, CPA EIN 45-5512453 NONE | Accounting (including auditing) Service code 10 | 4807 MARY GREEN CT NE CEDAR RAPIDS, IA 52401 | $15K |
| CEDAR RAPIDS BANK & TRUST NONE | Custodial (securities) Service code 19 | 500 1ST AVE NE, STE 100 CEDAR RAPIDS, IA 52401 | $10K |
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 | 444 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 444 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 444 | $5.2M |
| Dental | DELTA DENTAL | 0 | $5K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 454 | $12K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 442 | $880K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 454 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 454 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.