| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AXION RMS LTD Filed as: AXION RMS, LTD. | 2651 WARRENVILLE RD STE 200 DOWNERS GROVE, IL 60515 | BLUECROSS BLUESHIELD OF ILLINOIS | $55K | — | $55K | 3.22% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | BLUECROSS BLUESHIELD OF ILLINOIS | $377 | $2K | $2K | 0.11% |
| AXION RMS LTD Filed as: AXION RMS, LTD | 760 PASQUINELLI DR STE 358 WESTMONT, IL 60559 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $6K | $4K | $10K | 15.04% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $754 | — | $754 | 1.16% |
| AXION RMS LTD3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 18.44% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | EYEMED VISION CARE | $193 | — | $193 | 8.50% |
| CROWN RISK MANAGEMENT, LLC Filed as: AXION RISK MANAGEMENT STRATEGIES | 2651 WARRENVILLE RD 200 DOWNERS GROVE, IL 60515 | EYEMED VISION CARE | $18 | — | $18 | 0.79% |
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 | 195 | 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 | 287 | $1.7M |
| Dental | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 29 | $65K |
| Vision | EYEMED VISION CARE | 128 | $2K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 195 | $34K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 195 | $34K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 195 | $34K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 195 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.