| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES NATIONAL INC | 100 SUMMIT LAKE DRIVE SUITE 400 VAHALLA, NY 10595 | DELTA DENTAL OF ILLINOIS | $1K | — | $1K | 1.80% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 400 GALLERIA PKWY SE STE 300 ATLANTA, GA 303393182 | DELTA DENTAL OF ILLINOIS | $443 | — | $443 | 0.70% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE, LLC | PO BOX 1090 110 W COURT ST PARIS, IL 61944 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 11.99% |
| GARY WARE & ASSOC INC3 Filed as: GARY WARE AND ASSOC INC | 3808 W SPRINGFIELD AVENUE STE D CHAMPAIGN, IL 618228806 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $2K | — | $2K | 13.07% |
| MICHAEL PETERS & ASSOCIATES, INC.3 Filed as: MICHAEL PAUL PETERS | — | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $2K | — | $2K | 11.90% |
| DAVID THOMAS KEENAN3 | — | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $2K | — | $2K | 9.60% |
| LARRY CREWS3 | 1606 S STATE STREET, SUITE 104 CHAMPAIGN, IL 61820 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $1K | — | $1K | 5.75% |
| CIBC OF ILLINOIS INC3 | 187 SOUTH SCHUYLER AVENUE SUITE 500 KANKAKEE, IL 60901 | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | $44 | — | $44 | 0.24% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE, LLC | PO BOX 1090 110 W COURT ST PARIS, IL 61944 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 16.37% |
| NICHOLAS MEREDITH4 | 606 SAINT ANDREWS CIR RANTOUL, IL 61866 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $224 | — | $224 | 11.76% |
| GARY LONGFELLOW4 | 602 WESTERN HILLS DR MAHOMET, IL 61853 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $69 | — | $69 | 3.62% |
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 | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ALLIANCE MEDICAL PLANS | 145 | $724K |
| Dental | DELTA DENTAL OF ILLINOIS | 181 | $64K |
| Vision | VISION SERVICE PLAN | 90 | $9K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $53K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $38K |
| Other(2 contracts, 2 carriers) | ILLINOIS MUTUAL LIFE INSURANCE COMPANY | 88 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 192 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.