| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $5K | $17K | 15.38% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON DBA BENEFITS WEST | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $16K | $0 | $16K | 15.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $0 | $11K | 20.34% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON DBA BENEFITS WEST | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 2.94% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $4K | $11K | 20.69% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON DBA BENEFITS WEST | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 15.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | SYMETRA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| BENEFITS WEST INC3 | 19401 40TH AVENUE WEST SUITE 405 LYNNWOOD, WA 98036 | SYMETRA LIFE INSURANCE COMPANY | $0 | $0 | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSMART BENEFIT SOLUTIONS EIN 36-4099199 | Contract Administrator Service code 13 | — | $473K |
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 | Contract Administrator Service code 13 | — | $408K |
| BELL ANDERSON DBA BENEFITS WEST EIN 91-2152589 | Insurance agents and brokers Service code 22 | 19401 40TH AVE WEST STE 440 LYNNWOOD, WA 98036 | $0 |
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 | 1,196 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,352 | $54K |
| Short-term disability(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,352 | $161K |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION | 0 | $542K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,352 | $215K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,352 | — |
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.