| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 30150 TELEGRAPH RD, STE 408 BINHAM FARMS, MI 48025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 10.57% |
| MARCIN ZUREK3 | 15419 W 127TH STREET LEMONT, IL 60439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $634 | — | $634 | 1.43% |
| KEN KRAVITZ3 | PO BOX 1284 BRIDGEVIEW, IL 60455 | CONTINENTAL AMERICAN INSURANCE COMPANY | $593 | — | $593 | 1.34% |
| JEFFREY LYNN LAMBERT3 Filed as: JEFFREY LAMBERT | 15419 W 127TH ST LEMONT, IL 60439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $304 | — | $304 | 0.69% |
| DRAPER & KRAMER AGENCY CORPORATION3 Filed as: DRAPER AND KRAMER AGENCY CORP | 33 W MONROE ST., STE 1900 CHICAGO, IL 60603 | CONTINENTAL AMERICAN INSURANCE COMPANY | $256 | — | $256 | 0.58% |
| TIMOTHY ASBY3 | 9247 N MERIDIAN ST, STE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $139 | — | $139 | 0.31% |
| JAMES ERICSON3 | 311 STONELEIGH LN OSWEGO, IL 60543 | CONTINENTAL AMERICAN INSURANCE COMPANY | $135 | — | $135 | 0.31% |
| DAPHNE WILSON MCCLAIN3 | 1465 GORDON AVE CALUMET, IL 60409 | CONTINENTAL AMERICAN INSURANCE COMPANY | $87 | — | $87 | 0.20% |
| DUANE PAVLISH3 | 18248 JUSTICE WAY LAKEVILLE, MN 55044 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.09% |
| THERESA REDDING3 | 71 COUNTRY CLUB DR BLOOMINGDALE, IL 60108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.07% |
| MORETON & COMPANY3 Filed as: PHILLIP MORTON | 1271 CRANBROOK CIRCLE AURORA, IL 60502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.06% |
| DAVID COTTON3 | 1690 HILDA DR SANDWICH, IL 60548 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.05% |
| MARIA NOVOA3 | 26 COUR D'ALENE PALOS HILLS, IL 60465 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.05% |
| LAURA DOSMANN3 Filed as: LAURA C DOSMANN | 1465 GORDON AVE SHAKOPEE, MN 55379 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.02% |
| GARY A EBERLIN3 Filed as: GARY EBERLIN | 213 LORETTA LANE GODFREY, IL 62035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| FRANK A HAMILTON3 Filed as: FRANK HAMILTON | 9504 BRIGHTON BUNKER HILL ROAD BUNKER HILL, IL 62014 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| JEREMY S KLOKKENGA3 Filed as: JEREMY KLOKKENGA | 1355 N BLUFF ROAD, STE A COLLINSVILLE, IL 62234 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| KEN KRAVITZ3 | PO BOX 1284 BRIDGEVIEW, IL 60455 | AFLAC | $579 | $40 | $619 | 4.44% |
| DRAPER & KRAMER AGENCY CORPORATION3 | 33 W MONROE ST, STE 1900 CHICAGO, IL 60603 | AFLAC | $329 | — | $329 | 2.36% |
| DGP CONSULTING INC3 Filed as: DGP CONSULTING, INC | 18248 JUSTICE WAY LAKEVILLE, MN 55044 | AFLAC | $144 | $93 | $237 | 1.70% |
| TODD DEVOSS3 | 321 NORTH CLARK STREET, STE 625 CHICAGO, IL 60654 | AFLAC | $128 | — | $128 | 0.92% |
| MARCIN ZUREK3 | 15419 W 127TH ST LEMONT, IL 60439 | AFLAC | $70 | — | $70 | 0.50% |
| ELIZABETH M GASPAROVIC3 Filed as: ELIZABETH GASPAROVIC | 1531 W RUE JAMES PL PALATINE, IL 60067 | AFLAC | $43 | — | $43 | 0.31% |
| FRANK A HAMILTON3 Filed as: FRANK HAMILTON | 9504 BRIGHTON BUNKER HILL RD BUNKER HILL, IL 62014 | AFLAC | $42 | — | $42 | 0.30% |
| LAURA DOSMANN3 | 1981 BLUE JAY ST SHAKOPEE, MN 55379 | AFLAC | $22 | $19 | $41 | 0.29% |
| H J SAMAAN INC3 Filed as: H J SAMAAN, INC | 19W152 21ST PL LOMBARD, IL 60148 | AFLAC | $38 | — | $38 | 0.27% |
| DARIN D PAVLISH3 Filed as: DARIN PAVLISH | 7760 FRANCE AVE SOUTH 1162 EDINA, MN 55435 | AFLAC | $18 | $19 | $37 | 0.27% |
| BARBIER GROUP INC3 Filed as: BARBIER GROUP, INC | 414 N ORLEANS ST, STE 601 CHICAGO, IL 60654 | AFLAC | $33 | — | $33 | 0.24% |
| LOREN MEYER3 | 2604 WEST EUCLID AVE INDIANOLA, IA 50125 | AFLAC | $29 | — | $29 | 0.21% |
| ADRIENNE KOSTREVEA3 | 150 W MAPLE ST., APT 1902 CHICAGO, IL 60610 | AFLAC | $25 | — | $25 | 0.18% |
| JEFF LAMBERT3 | 15419 W 127TH ST LEMONT, IL 60439 | AFLAC | $22 | — | $22 | 0.16% |
| LA FREY AND ASSOCIATES INC3 Filed as: LA FREY AND ASSOCIATES, INC | 14466 S ELIZABETH LN HOMER GLEN, IL 60491 | AFLAC | $22 | — | $22 | 0.16% |
| MARIA NOVOA3 | 26 COUR D ARLENE PALOS HILLS, IL 60465 | AFLAC | $18 | — | $18 | 0.13% |
| THERESA REDDING3 | 71 COUNTRY CLUB DR BLOOMINGDALE, CA 60108 | AFLAC | $15 | — | $15 | 0.11% |
| KRINGS ENTERPRISES INC3 Filed as: S KRINGS ENTERPRISES, INC | 1408 PRAIRIE RIDGE DR POLK CITY, IA 50226 | AFLAC | $15 | — | $15 | 0.11% |
| JAMES ERICSON3 Filed as: JAMES HELING | 103 MARK COURT OSWEGO, IL 60543 | AFLAC | $14 | — | $14 | 0.10% |
| JEFFREY LYNN LAMBERT3 Filed as: JEFFREY LAMBERT | 15419 W 127TH ST LEMONT, IL 60439 | AFLAC | $14 | — | $14 | 0.10% |
| JB ERICKSON & ASSOCIATES, INC3 | 311 STONELEIGH LANE OSWEGO, IL 60543 | AFLAC | $13 | — | $13 | 0.09% |
| ELENI A NIKOLAS3 Filed as: ELENI KRAUSE | 50 HURT PLZ SE, STE 995 ATLANTA, GA 30303 | AFLAC | $13 | — | $13 | 0.09% |
| JOSHUA J PARISE3 Filed as: JOSHUA PARISE | 7325 JANES AVE WOODRIDGE, IL 60517 | AFLAC | $11 | — | $11 | 0.08% |
| GARY A EBERLIN3 Filed as: GARY EBERLIN | 3415 MAPLE RIDGE DR WOOD RIVER, IL 62095 | AFLAC | $10 | — | $10 | 0.07% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD, STE 203 WEST CHICAGO, IL 60185 | AFLAC | $10 | — | $10 | 0.07% |
| TOMMY L JOHNSON JR3 Filed as: TOMMY JOHNSON, JR | 11620 WILSHIRE BLVD, STE 210 LOS ANGELES, CA 90025 | AFLAC | $10 | — | $10 | 0.07% |
| GLEN E TWAITS3 Filed as: GLEN TWAITS | 2006 DOUBLE EAGLE DR MISSION, TX 78572 | AFLAC | $10 | — | $10 | 0.07% |
| TIMOTHY ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $9 | — | $9 | 0.06% |
| BENE COZART3 | 762 BUCKBOARD LN FENTON, MO 63026 | AFLAC | $8 | — | $8 | 0.06% |
| GTS INC3 Filed as: GTS, INC | 1284 ROSEGATE CT AURORA, IL 60504 | AFLAC | $8 | — | $8 | 0.06% |
| KRINGS ENTERPRISES INC3 Filed as: KRINGS ENTERPRISES, INC | 5530 WEST PKWY, STE 500 JOHNSTON, IA 50131 | AFLAC | $7 | — | $7 | 0.05% |
| JEREMY S KLOKKENGA3 Filed as: JEREMY KLOKKENGA | 1355 N BLUFF RD, STE A COLLINSVILLE, IL 62234 | AFLAC | $6 | — | $6 | 0.04% |
| TERRY SILVERS3 | 100 GREENLEAF DR FLATROCK, NC 28731 | AFLAC | $5 | — | $5 | 0.04% |
| MICHAEL A ORTIZ3 Filed as: MICHAEL ORTIZ | 3433 VOLTAIRE LANE ST CHARLES, IL 60175 | AFLAC | $5 | — | $5 | 0.04% |
| MATTHEW D BUTLER3 Filed as: MATTHEW BUTLER | 123 CENTER PARK DR, STE 102 KNOXVILLE, TN 37922 | AFLAC | $5 | — | $5 | 0.04% |
| CHRIS RAUCH3 | 364 HILL AVE GLEN ELLYN, IL 60137 | AFLAC | $5 | — | $5 | 0.04% |
| LINDA FERRARO3 | 105 SEABURY ROAD BOLINGBROOK, IL 60440 | AFLAC | $5 | — | $5 | 0.04% |
| ED KRAUSE3 | 50 HURT PLZ SE, STE 995 ATLANTA, GA 30303 | AFLAC | $5 | — | $5 | 0.04% |
| MARC P TRANSPARENTI3 Filed as: MARC TRANSPARENTI | 24909 MADISON AVE, UNIT 1014 MURRIETA, CA 92562 | AFLAC | $4 | — | $4 | 0.03% |
| STEPHEN KALLOCK3 | 703 OXFORD COVE CANTON, GA 30115 | AFLAC | $4 | — | $4 | 0.03% |
| DAPHNE WILSON MCCLAIN3 | 1817 MEMORIAL DRIVE, 3W CALUMET CITY, IL 60409 | AFLAC | $3 | — | $3 | 0.02% |
| MARC P TRANSPARENTI3 Filed as: MARC TRANSPARENTI | 3915 TILA RD PARKVILLE, MD 21234 | AFLAC | $3 | — | $3 | 0.02% |
| SUSAN BRIMHALL3 | 155 CYPRESS LN OLDSMAR, FL 34677 | AFLAC | $2 | — | $2 | 0.01% |
| ROBERT SCOTT BORROWDALE3 | 1342 LAKESIDE ST LA PORTE, IN 46350 | AFLAC | $2 | — | $2 | 0.01% |
| ED KRAUSE3 | 2450 AIRPORT RD, APT N2131 LONGMONT, CO 80503 | AFLAC | $2 | — | $2 | 0.01% |
| ADAM H MICHAELS3 Filed as: ADAM H MICHAELS & ASSOC, LTD | 12121 WILSHIRE BLVD, STE 1225 LOS ANGELES, CA 90025 | AFLAC | $2 | — | $2 | 0.01% |
| BRITT F PARK3 Filed as: BRITT PARK | 1971 BRIARWOOD DR CAPE GIRARDEAU, MO 63703 | AFLAC | $2 | — | $2 | 0.01% |
| FREDERICK R SCHREMP3 Filed as: FREDERICK SCHREMP | 3625 CUMBERLAND BLVD SE, STE 800 ATLANTA, GA 30339 | AFLAC | $2 | — | $2 | 0.01% |
| PAUL LEE3 | PO BOX 248 KENNESAW, GA 30156 | AFLAC | $2 | — | $2 | 0.01% |
| WILLIAM FOGEL3 | 913 E ESPERANZA AVE MCALLEN, TX 78501 | AFLAC | $2 | — | $2 | 0.01% |
| SUSAN BRIMHALL3 | 3921 CAPE SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $2 | — | $2 | 0.01% |
| HENRY J SAMAAN3 Filed as: HENRY SAMAAN | 19W152 21ST PL LOMBARD, IL 60148 | AFLAC | $1 | — | $1 | 0.01% |
| BRADLEY K HARRISON3 Filed as: BRADLEY HARRISON | 3432 W TRUMAN BLVD JEFFERSON CITY, MO 65109 | AFLAC | $1 | — | $1 | 0.01% |
| DAVID C CLOUD JR3 Filed as: DAVID CLOUD, JR | 1301 SHILOH RD NW, STE 1020 KENNESAW, GA 30144 | AFLAC | $1 | — | $1 | 0.01% |
| THOMAS ROBERT GIDDENS3 | PO BOX 2517 KENNESAW, GA 30156 | AFLAC | $1 | — | $1 | 0.01% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 0 | $14K |
| Dental | AFLAC | 0 | $14K |
| Life insurance | AFLAC | 0 | $14K |
| Short-term disability | AFLAC | 0 | $14K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 299 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.