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Brokerage Services for CBIZ Employee Services Organization
37.
Do you assist clients in the preparation of their Form 5500s and Summary Annual Reports? Is there a cost for
these services?
We do assist our clients with the presentation of Form 5500 and Summary Annual Reports as well as other
federal and state requirements. There is no charge for this service.
Compensation
38.
How is your firm compensated for your services?
Our firm can be compensated in one of three ways:
Commission only
Fee only
Combination of commission and fees
39.
Has your firm been subject to any lawsuits or settlements specific to compensation disclosure or practices
within the last five years?
No
40.
Does your firm have any reservations in making available documentation of the commissions receivedfrom
insurers?
All commissions and or fees will be fully disclosed by both CBIZ directly and by Schedule A to Form 5500.
41.
What is your company’s philosophy on accepting contingency/override compensation from insurers relative
to the placement of insurance programs?
CBIZ will accept no contingency/override compensation from insurers relative to the placement of insurance
programs at Pike.
42.
Describe our right to terminate a contract with you. Is there a minimum contractperiod?
If elected to provide service to PIKE, CBIZ would require a Broker of Record (BOR) letter executed by PIKE
appointing CBIZ as your broker/consultant (see attached).
This appointment can be terminated at any time by PIKE.