| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | FOUR WESTBROOK CORPORATE SUITE 500 WESTCHESTER, IL 60154 | BLUECROSS BLUESHIELD OF ILLINOIS | $50K | $3K | $52K | 2.38% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD SUITE 14B CHICAGO, IL 60604 | BLUECROSS BLUESHIELD OF ILLINOIS | $35K | $0 | $35K | 1.58% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | 4350 WEAVER PARKWAY WARRENVILLE, MO 60555 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $3K | $6K | 5.78% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-AMERICA | 9200 WARD PARKWAY, SUITE 500 KANSAS CITY, MO 64114 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.22% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | 4350 WEAVER PARKWAY WARRENVILLE, MO 60555 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $34 | $3K | 2.90% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 9200 WARD PARKWAY, SUITE 500 KANSAS CITY, MO 64114 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $59 | $2K | 1.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $397 | $397 | 0.42% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | 4350 WEAVER PARKWAY WARRENVILLE, MO 60555 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | $0 | $1K | 6.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 9200 WARD PARKWAY KANSAS CITY, MO 64114 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $641 | $0 | $641 | 3.35% |
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 | 136 | 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) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 279 | $2.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 437 | $94K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 281 | $19K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 136 | $109K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 136 | $109K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 279 | $2.2M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 136 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 437 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.