| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN WESTBROOK INS SERVICES LLC3 | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | HUMANA HEALTH PLAN, INC | $12K | — | $12K | 2.90% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | HUMANA HEALTH PLAN, INC | $11K | — | $11K | 2.53% |
| AMERICAN WESTBROOK INS SERVICES LLC3 | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | HUMANA INSURANCE COMPANY | $3K | — | $3K | 2.70% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | HUMANA INSURANCE COMPANY | $3K | — | $3K | 2.65% |
| AMERICAN WESTBROOK INS SERVICES LLC3 Filed as: AMERICAN WESTBROOK INS SERVICE | 4 WESTBROOK CORP CTR STE # 500 WESTCHESTER, IL 601545753 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $929 | — | $929 | 11.38% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC | 206 S JEFFERSON SUITE # 220 CHICAGO, IL 606615639 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $408 | — | $408 | 5.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $395 | — | $395 | 4.84% |
| AMERICAN WESTBROOK INS SERVICES LLC3 Filed as: AMERICAN WESTBROOK INS SERVICE | 4 WESTBROOK CORP CTR STE # 500 WESTCHESTER, IL 601545753 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $742 | — | $742 | 11.08% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC | 206 S JEFFERSON SUITE # 220 CHICAGO, IL 606615639 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $335 | — | $335 | 5.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $262 | — | $262 | 3.91% |
| AMERICAN WESTBROOK INS SERVICES LLC3 Filed as: AMERICAN WESTBROOK INS SERVICE | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | DELTA DENTAL OF ILLINOIS | $252 | — | $252 | 5.64% |
| AMERICAN WESTBROOK INS SERVICES LLC3 Filed as: AMERICAN WESTBROOK INS SERVICE | 4 WESTBROOK CORP CTR STE # 500 WESTCHESTER, IL 601545753 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $484 | — | $484 | 11.07% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC | 206 S JEFFERSON SUITE # 220 CHICAGO, IL 606615639 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $219 | — | $219 | 5.01% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORP CENTER # 500 WESTCHESTER, IL 601545753 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $172 | — | $172 | 3.93% |
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 | 96 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 96 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HUMANA HEALTH PLAN, INC | 53 | $528K |
| Dental | DELTA DENTAL OF ILLINOIS | 70 | $4K |
| Vision | EYE MED | 35 | $464 |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 96 | $7K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 96 | $11K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 29 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 96 | — |
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.