| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTH SHORE BENEFITS PARTNERS3 | 438 N HOUGH ST BARRINGTON, IL 600103029 | AETNA | $15K | — | $15K | 9.91% |
| NORTH SHORE BENEFITS PARTNERS3 Filed as: NORTH SHORE BENEFITS PARTNERS INC | 438 N HOUGH ST BARRINGTON, IL 600103029 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS LLC | 4350 WEAVER PKWY WARRENVILLE, IL 60555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $498 | $498 | 6.74% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC | 216 S JEFFERSON SUITE # LL2 CHICAGO, IL 606615639 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $369 | — | $369 | 4.99% |
| NORTH SHORE BENEFITS PARTNERS3 | 438 N HOUGH ST BARRINGTON, IL 600103029 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $708 | — | $708 | 15.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS LLC | 4350 WEAVER PKWY WARRENVILLE, IL 60555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $317 | $317 | 6.72% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC | 216 S JEFFERSON SUITE # LL2 CHICAGO, IL 606615639 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $236 | — | $236 | 5.00% |
| NORTH SHORE BENEFITS PARTNERS3 Filed as: NORTH SHORE BENEFITS PARTNERS INC | 438 N HOUGH ST BARRINGTON, IL 600103029 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $599 | — | $599 | 15.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS LLC | 4350 WEAVER PKWY WARRENVILLE, IL 60555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $263 | $263 | 6.58% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC | 216 S JEFFERSON SUITE # LL2 CHICAGO, IL 606615639 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $200 | — | $200 | 5.01% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 7N024 MEDINAH ROAD MEDINAH, IL 60157 | DELTA DENTAL OF ILLINOIS | $74 | — | $74 | 1.99% |
| BSP GROUP BENEFITS INC3 | 206 S JEFFERSON SUITE # 200 CHICAGO, IL 606615639 | DELTA DENTAL OF ILLINOIS | $16 | — | $16 | 0.43% |
| NORTH SHORE BENEFITS PARTNERS3 | 438 N HOUGH ST BARRINGTON, IL 600103029 | DELTA DENTAL OF ILLINOIS | $0 | — | $0 | 0.00% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 7N024 MEDINAH ROAD MEDINAH, IL 60157 | EYE MED | $130 | — | $130 | 5.71% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC DBA SOURCE 1 BENEFITS | 206 S JEFFERSON SUITE # 200 CHICAGO, IL 606615639 | EYE MED | $116 | — | $116 | 5.09% |
| NORTH SHORE BENEFITS PARTNERS3 Filed as: NORTH SHORE BENEFITS PARTNERS INC | 527 OLD NORTHWEST HWY SUITE 304 BARRINGTON, IL 60010 | EYE MED | $101 | — | $101 | 4.43% |
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 | 69 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 69 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 29 | $153K |
| Dental | DELTA DENTAL OF ILLINOIS | 46 | $4K |
| Vision | EYE MED | 32 | $2K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 69 | $5K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 69 | $9K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 20 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 69 | — |
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.