| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1076 HIGHLAND COLONY PARKWAY SUITE 300 RIDGELAND, MS 39157 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 4.56% |
| RALPH EUGENE HAMN3 | 1702 DEVONSHIRE DRIVE SOUTHEAST DECATUR, AL 35601 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.75% |
| LAKESHORE BENEFIT ALLIANCE LLC3 Filed as: LAKESHORE BENEFIT ALLIANCE | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD 5TH FLOOR ROLLING MEADOWS, IL 60008 | COMPANION LIFE INSURANCE COMPANY | $4K | — | $4K | 9.38% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | COMPANION LIFE INSURANCE COMPANY | $3K | — | $3K | 7.15% |
| ABE SMITH, INC.3 Filed as: ABE SMITH, INC | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | COMPANION LIFE INSURANCE COMPANY | $1K | — | $1K | 2.46% |
| RALPH EUGENE HAMN3 Filed as: RALPH HAMN | 1702 DEVONSHIRE DRIVE SOUTHEAST DECATUR, AL 35601 | COMPANION LIFE INSURANCE COMPANY | $1K | — | $1K | 2.46% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 736 SOUTH STONE AVENUE LAGRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $489 | $489 | 2.91% |
| RALPH EUGENE HAMN3 | 1702 DEVONSHIRE DRIVE SOUTHEAST DECATUR, AL 35601 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $339 | — | $339 | 2.02% |
| ABE SMITH, INC.3 Filed as: ABE SMITH, INC | 700 37TH STREET SOUTH BIRMINGHAM, AL 35222 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $339 | — | $339 | 2.02% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 96 | $79K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 96 | $79K |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 125 | $46K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY | 125 | $46K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 122 | $17K |
| Other | COMPANION LIFE INSURANCE COMPANY | 125 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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.