| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $22K | $7K | $28K | 19.61% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | $5K | $21K | 19.31% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | P.O. BOX 745977 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $3K | — | $3K | 5.00% |
| DEBORAH A GUILBEAULT3 Filed as: DEBORAH GUILBEAULT | 120 VALLEY VIEW DR ALGONQUIN, IL 60102 | AFLAC | $2K | $317 | $2K | 7.68% |
| CAPTIVE RESOURCES INS SERVICES INC3 | 1100 N ARLINGTON HEIGHTS RD STE 400 ITASCA, IL 60143 | AFLAC | $1K | — | $1K | 5.15% |
| ELIZABETH M GASPAROVIC3 Filed as: ELIZABETH GASPAROVIC | 18 N SMITH ST PALATINE, IL 60067 | AFLAC | $535 | — | $535 | 1.90% |
| OVERBECK INSURANCE SERVICES3 | 1033 SOUTH BLVD OAK PARK, IL 60302 | AFLAC | $231 | $32 | $263 | 0.93% |
| ZUREK & ASSOCIATES LLC3 | 150 N EAST RIVER RD APT 316 DES PLAINES, IL 60016 | AFLAC | $156 | $32 | $188 | 0.67% |
| MARY NAUERT3 | 1882 SEBASTIAN DR WOODSTOCK, IL 60098 | AFLAC | $150 | — | $150 | 0.53% |
| 3KZ LLC3 | 535 ABBEYWOOD DR CARY, IL 60013 | AFLAC | $150 | — | $150 | 0.53% |
| MICHAEL E MCCARTHY3 Filed as: MICHAEL MCCARTHY | 143 W WARFIELD DR MOORESVILLE, NC 28115 | AFLAC | $112 | $20 | $132 | 0.47% |
| KANDACE M MCCARTHY3 Filed as: KANDACE MCCARTHY | 1171 HEAVENS GATE LAKE IN THE HILLS, IL 60156 | AFLAC | $80 | $20 | $100 | 0.35% |
| M BRIGHT LLC3 | 1430 LOCH LOMOND DR CRYSTAL LAKE, IL 60014 | AFLAC | $78 | — | $78 | 0.28% |
| DON J CONOYER3 Filed as: DON CONOYER | 119 OAKSHIRE DR W GLEN CARBON, IL 62034 | AFLAC | $70 | — | $70 | 0.25% |
| CHAD NELSON3 | 5266 N KUFALK LN BYRON, IL 61010 | AFLAC | $52 | — | $52 | 0.18% |
| LISA M HELZING3 Filed as: LISA HELZING | 620 JILL CT DES PLAINES, IL 60018 | AFLAC | $36 | — | $36 | 0.13% |
| DEAN ANAGNOPOULOS3 | 620 JILL CT DES PLAINES, IL 60018 | AFLAC | $24 | — | $24 | 0.09% |
| DENNIS J CASSENS3 Filed as: DENNIS CASSENS | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $20 | — | $20 | 0.07% |
| KENNETH J HOFFMAN3 Filed as: KENNETH HOFFMAN | N65W13544 COBBLESTONE CT MENOMONEE FALLS, WI 53051 | AFLAC | $19 | — | $19 | 0.07% |
| MICHAEL MOORE3 | 2630 E COUNTY ROAD 1300 N CARTHAGE, IL 62321 | AFLAC | $18 | — | $18 | 0.06% |
| SANDY DAHLEN3 | 16635 GALAXIE WAY ROSEMOUNT, MN 55068 | AFLAC | $15 | — | $15 | 0.05% |
| LYNN B KEEFER3 Filed as: LYNN KEEFER | 1743 MEADOWLARK RD EAGAN, MN 55122 | AFLAC | $11 | — | $11 | 0.04% |
| GLEN T SCHWEIKERT3 Filed as: GLEN SCHWEIKERT | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $10 | — | $10 | 0.04% |
| MICHELLE MAGUIRE3 | 7825 WASHINGTON AVE S SUITE 425 MINNEAPOLIS, MN 55439 | AFLAC | $5 | — | $5 | 0.02% |
| WILLIAM F MURRAY III3 Filed as: WILLIAM MURRAY III | 1298 SAINT PATRICK WAY SUN PRAIRIE, WI 53590 | AFLAC | $2 | — | $2 | 0.01% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $2 | — | $2 | 0.01% |
| BEAULIEU BENEFITS INC3 | 577 MARITIME WAY SUPPLY, NC 28462 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH A NASCA3 Filed as: JOSEPH NASCA | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $2 | — | $2 | 0.01% |
| DEVOSS INSURANCE AGENCY LLC3 | 798 EAGLE DR AURORA, IL 60506 | AFLAC | $2 | — | $2 | 0.01% |
| GREGORY SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $2 | — | $2 | 0.01% |
| SCOTT LYDEN3 | 1284 ROSEGATE CT AURORA, IL 60504 | AFLAC | $2 | — | $2 | 0.01% |
| KNUTE NELSON3 | 920 AUTUMN SAGE WAY PFLUGERVILLE, TX 78660 | AFLAC | $2 | — | $2 | 0.01% |
| TIMOTHY ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $2 | — | $2 | 0.01% |
| ELIZABETH A LENZO3 Filed as: ELIZABETH LENZO | 151 N KENLIWORTH AVE APT 1A OAK PARK, IL 60302 | AFLAC | $1 | — | $1 | 0.00% |
| STEPHEN KELLS3 | 1026 BALDWIN LN OAK PARK, IL 60302 | AFLAC | $1 | — | $1 | 0.00% |
| DARIN D PAVLISH3 Filed as: DARIN PAVLISH | 8312 152ND PL SAVAGE, MN 55378 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN KUYATT3 | 17590 ITALY PATH LAKEVILLE, MN 55044 | AFLAC | $1 | — | $1 | 0.00% |
| PATRICIA JESPERSON3 | 2311 UPTON AVE N MINNEAPOLIS, MN 55411 | AFLAC | $1 | — | $1 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | MUTUAL OF OMAHA INSURANCE COMPANY | $3K | $863 | $4K | 19.25% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $684 | $3K | 19.69% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 NORTH CLARK STREET CHICAGO, IL 60610 | ACE AMERICAN INSURANCE COMPANY | $1K | $252 | $1K | 18.16% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 NORTH CLARK STREET CHICAGO, IL 60610 | ACE AMERICAN INSURANCE COMPANY | $1K | $675 | $2K | 24.01% |
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 | 522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 526 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 32 | $28K |
| Vision | VISION SERVICE PLAN | 382 | $57K |
| Life insurance(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 522 | $153K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 522 | $145K |
| Other(5 contracts, 4 carriers) | AFLAC | 522 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 522 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.