| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUECROSS BLUESHIELD OF ILLINOIS | $121K | $5 | $121K | 2.17% |
| FAUBLE INS AGENCY INC3 | 522 VERMONT ST UNIT 1/2 QUINCY, IL 62301 | BLUECROSS BLUESHIELD OF ILLINOIS | $27K | — | $27K | 0.48% |
| ROGER J. LOWERY-THE LOWERY GROUP3 Filed as: ROGER J LOWERY - THE LOWERY GROUP | — | BLUECROSS BLUESHIELD OF ILLINOIS | $26K | — | $26K | 0.47% |
| KL GOOD BENEFITS LLC3 Filed as: GOOD CIRCLE INSURANCE AGENCY | MIDWEST INC STERLING, IL 61081 | BLUECROSS BLUESHIELD OF ILLINOIS | $24K | — | $24K | 0.44% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $19K | — | $19K | 0.35% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES, | — | BLUECROSS BLUESHIELD OF ILLINOIS | $18K | — | $18K | 0.33% |
| CLEAR INSIGHT BENEFITS CONSULTING3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $18K | — | $18K | 0.32% |
| DIGITAL INSURANCE LLC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $15K | — | $15K | 0.26% |
| GROUP HEALTH SERVICES LLC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $14K | — | $14K | 0.26% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N CLARK ST CHICAGO, IL 60654 | BLUECROSS BLUESHIELD OF ILLINOIS | $14K | — | $14K | 0.24% |
| STUMM INSURANCE LLC3 | 9400 W. HIGGINS RD, STE 310 ROSEMONT, IL 60018 | BLUECROSS BLUESHIELD OF ILLINOIS | $13K | — | $13K | 0.23% |
| TW GROUP, INC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $11K | — | $11K | 0.19% |
| TMA BENEFIT SERVICES INC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $10K | — | $10K | 0.18% |
| DSP INSURANCE SERVICES, INC.3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $2K | $7K | $9K | 0.16% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $8K | — | $8K | 0.14% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM AND BUTLER INSURANCE | — | BLUECROSS BLUESHIELD OF ILLINOIS | $7K | — | $7K | 0.13% |
| MARSH & MCLENNAN AGENCY LLC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $6K | — | $6K | 0.11% |
| FALOONA AGENCY INC3 | 16543 OAK PARK AVE TINLEY PARK, IL 60477 | BLUECROSS BLUESHIELD OF ILLINOIS | $6K | — | $6K | 0.10% |
| ARISTA GROUP LLC3 | 814 W NORTHWEST HWY ARLINGTON HEIGHTS, IL 60004 | BLUECROSS BLUESHIELD OF ILLINOIS | $6K | — | $6K | 0.10% |
| FIRST MID INSURANCE GROUP INC3 | 1520 CHARLESTON AVE MATTOON, IL 61938 | BLUECROSS BLUESHIELD OF ILLINOIS | $6K | — | $6K | 0.10% |
| LARRY D DENNY3 Filed as: LARRY D OWEN | — | BLUECROSS BLUESHIELD OF ILLINOIS | $5K | — | $5K | 0.10% |
| KEYSTONE INSURANCE & BENEFITS GROUP3 Filed as: KEYSTONE INSURANCE & BENEFITS | GROUP LLC 40600 ANN ARBOR RD E STE 201 PLYMOUTH, MI 48170 | BLUECROSS BLUESHIELD OF ILLINOIS | $5K | — | $5K | 0.09% |
| ERIC BROGAN3 Filed as: ERIC KOHLSDORF | — | BLUECROSS BLUESHIELD OF ILLINOIS | $4K | — | $4K | 0.07% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFITS SERVICE | 750 WARRENVILLE RD #400 LISLE, IL 60532 | BLUECROSS BLUESHIELD OF ILLINOIS | $3K | — | $3K | 0.06% |
| MATSOCK FINANCIAL INC3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $2K | — | $2K | 0.04% |
| LORIA FINANCIAL GROUP LLC3 | 7500 S COUNTY LINE RD BURR RIDGE, IL 60527 | BLUECROSS BLUESHIELD OF ILLINOIS | $1K | — | $1K | 0.02% |
| ACRISURE LLC3 | 55 SHUMAN BLVD STE 900 NAPERVILLE, IL 60563 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | — | $12K | 14.12% |
| BENEFITS MATCHMAKING LLC3 | 23716 BIRTCHER DR LAKE FOREST, CA 92630 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $870 | $5K | 5.39% |
| ACRISURE LLC3 | DBA GARCEAU INSURANCE AGENCY PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $824 | $824 | 0.97% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | METROPOLITAN LIFE INSURANCE COMPANY | $653 | — | $653 | 0.77% |
| ACRISURE LLC3 | DBA RELIANCE INS GROUP 2163 UNIVERSITY PARK DR STE 200 OKEMOS, MI 48864 | METROPOLITAN LIFE INSURANCE COMPANY | — | $36 | $36 | 0.04% |
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 | 440 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 441 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 706 | $5.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 110 | $85K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 110 | $85K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 110 | $85K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 110 | $85K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 110 | $85K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 110 | $85K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 706 | — |
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.