| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUECROSS BLUESHIELD OF ILLINOIS | $107K | $5K | $112K | 2.18% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUECROSS BLUESHIELD OF ILLINOIS | $38K | — | $38K | 0.73% |
| FAUBLE INS AGENCY INC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $27K | — | $27K | 0.52% |
| KL GOOD BENEFITS LLC3 Filed as: GOOD CIRCLE INSURANCE AGENCY | — | BLUECROSS BLUESHIELD OF ILLINOIS | $26K | — | $26K | 0.50% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF ILLINOIS INC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $25K | — | $25K | 0.49% |
| PATRIOT GROWTH INSURANCE SERVICES3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $18K | — | $18K | 0.35% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $17K | — | $17K | 0.33% |
| DIGITAL INSURANCE LLC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $15K | — | $15K | 0.29% |
| GROUP HEALTH SERVICES LLC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $15K | — | $15K | 0.28% |
| STUMM INSURANCE LLC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $12K | — | $12K | 0.24% |
| KEYSTONE INSURANCE & BENEFITS GROUP3 Filed as: KEYSTONE INSURANCE & BENEFITS | — | BLUECROSS BLUESHIELD OF ILLINOIS | $5K | — | $5K | 0.10% |
| FALOONA AGENCY INC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $4K | — | $4K | 0.08% |
| LARRY D DENNY3 Filed as: LARRY D OWEN | — | BLUECROSS BLUESHIELD OF ILLINOIS | $4K | — | $4K | 0.08% |
| ERIC BROGAN3 Filed as: ERIC J KOHLSDORF | — | BLUECROSS BLUESHIELD OF ILLINOIS | $4K | — | $4K | 0.07% |
| FIRST MID INSURANCE GROUP INC3 | 1520 CHARLESTON AVE MATTOON, IL 61938 | BLUECROSS BLUESHIELD OF ILLINOIS | $3K | — | $3K | 0.05% |
| MATSOCK FINANCIAL INC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $3K | — | $3K | 0.05% |
| LOMAN-RAY INSURANCE GROUP3 Filed as: LOMAN-RAY INSURANCE GROUP INC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $2K | — | $2K | 0.03% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $875 | — | $875 | 0.02% |
| DSP INSURANCE SERVICES, INC.3 Filed as: DSP INSURANCE SERVICES INC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $771 | — | $771 | 0.01% |
| CLEAR INSIGHT BENEFITS CONSULTING3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | — | — | $0 | 0.00% |
| ACRISURE LLC3 | 55 SHUMAN BLVD STE 900 NAPERVILLE, IL 60563 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | — | $14K | 12.39% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GARCEAU INS AGENCY | PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 1.26% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | METROPOLITAN LIFE INSURANCE COMPANY | -$653 | — | -$653 | -0.56% |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 627 | $5.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 627 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.