| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEONARD E BURD3 | 1235 GORDON TERRACE DEERFIELD, IA 60015 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.52% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | — | $301 | $301 | 0.99% |
| LEONARD E BURD3 | 1235 GORDON TERRACE DEERFIELD, IL 60015 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | — | $126 | $126 | 1.01% |
| LEONARD E BURD3 | 1235 GORDON TERRACE DEERFIELD, IL 60015 | PRINCIPAL LIFE INSURANCE COMPANY | $770 | — | $770 | 9.12% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | — | $103 | $103 | 1.22% |
| LEONARD E BURD3 | 1235 GORDON TERRACE DEERFIELD, IL 60015 | PRINCIPAL LIFE INSURANCE COMPANY | $601 | — | $601 | 9.50% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | — | $76 | $76 | 1.20% |
| LEONARD E BURD3 | 1235 GORDON TERRACE DEERFIELD, IL 60015 | PRINCIPAL LIFE INSURANCE COMPANY | $245 | — | $245 | 9.76% |
| GIS BENEFITS INC3 | — | PRINCIPAL LIFE INSURANCE COMPANY | — | $30 | $30 | 1.20% |
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 | 110 | 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) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 65 | $30K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 52 | $6K |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 131 | $15K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 18 | $8K |
| Other(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 131 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.