| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY, LTD | 1750 E GOLF ROAD SCHAUMBURG, IL 60173 | BLUECROSS BLUE SHIELD OF ILLINOIS | $88K | $2K | $90K | 3.97% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF RD STE 1100 SCHAUMBURG, IL 60173 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $4K | $18K | 12.83% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 1750 E GOLF RD SCHAUMBURG, IL 60173 | LINCOLN NATIONAL LIFE INSURANCE CO | $5K | $84 | $5K | 15.23% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF ROAD SCHAUMBURG, IL 60173 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $68 | $4K | 15.23% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF ROAD SCHAUMBURG, IL 60173 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $65 | $3K | 10.23% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 1750 E GOLF RD SCHAUMBURG, IL 60173 | EYEMED | $2K | — | $2K | 12.27% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF ROAD SCHAUMBURG, IL 60173 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $808 | $17 | $825 | 12.26% |
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 | 174 | 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) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUE SHIELD OF ILLINOIS | 390 | $2.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 635 | $143K |
| Vision | EYEMED | 410 | $20K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 185 | $7K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 185 | $28K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 184 | $29K |
| Other(2 contracts, 2 carriers) | LINCOLN NATIONAL LIFE INSURANCE CO | 185 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 635 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.