| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD3 | 1750 E GOLF RD, FL 11TH SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE COMPANY | -$105K | — | -$105K | -2.67% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF RD SCHAUMBURG, IL 60173 | SUN LIFE ASSURANCE CO OF CANADA | $199K | — | $199K | 5.93% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF RD, FL 11TH SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE COMPANY | $56K | — | $56K | 10.00% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY, LTD | 1750 E GOLF RD SCHAUMBURG, IL 60173 | METROPOLITAN LIFE INSURANCE COMPANY | $83K | $20K | $104K | 18.95% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY, LTD | 1750 E GOLF RD SCHAUMBURG, IL 60173 | METROPOLITAN LIFE INSURANCE COMPANY | $54K | $3K | $57K | 15.95% |
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 | 10,711 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 10,745 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 2,223 | $1.2M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 10,209 | $4.0M |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 8,830 | $559K |
| Life insurance | SUN LIFE ASSURANCE CO OF CANADA | 10,711 | $3.4M |
| Short-term disability | SUN LIFE ASSURANCE CO OF CANADA | 10,711 | $3.4M |
| Long-term disability | SUN LIFE ASSURANCE CO OF CANADA | 10,711 | $3.4M |
| Other | ACE AMERICAN INSURANCE CO | 26,991 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,991 | — |
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."
No prospect flags tripped on this filing.