| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | BLUECROSS BLUESHIELD OF ILLINOIS | $94K | $5K | $99K | 3.65% |
| HEALTH INSURANCE MART AGENCY I3 | — | DELTA DENTAL OF ILLINOIS | $15K | — | $15K | 9.99% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY INC | PO BOX 658 MCHENRY, IL 60051 | AMERICAN UNITED LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY INC | PO BOX 658 MCHENRY, IL 60051 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $17K | — | $17K | 30.34% |
| STEPHEN DAY3 | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.33% |
| THE HEALTH INSURANCEMART AGENCY3 | PO BOX 658 MCHENRY, IL 60051 | CONTINENTAL AMERICAN INSURANCE COMPANY | $970 | — | $970 | 2.01% |
| DONALD J CONOYER3 Filed as: DONALD K CONOYER | 119 OAKSHIRE DRIVE WEST GLEN CARBON, IL 62034 | CONTINENTAL AMERICAN INSURANCE COMPANY | $369 | — | $369 | 0.76% |
| MICHAEL S MOORE3 | 2224 WEST WATERFORD COURT ROUND LAKE, IL 60073 | CONTINENTAL AMERICAN INSURANCE COMPANY | $342 | — | $342 | 0.71% |
| TAMI SPENCE3 Filed as: TAMI FEDER | 1315 OLD TIMBER LANE HOFFMAN ESTATES, IL 60192 | CONTINENTAL AMERICAN INSURANCE COMPANY | $332 | — | $332 | 0.69% |
| KELLY V ZURZOLO3 | 535 ABBEYWOOD DRIVE CARY, IL 60013 | CONTINENTAL AMERICAN INSURANCE COMPANY | $326 | — | $326 | 0.68% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $260 | — | $260 | 0.54% |
| JOSHUA T JONES3 | 25 GARFIELD LANE STREAMWOOD, IL 60107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | — | $195 | 0.40% |
| CHAD L NELSON3 | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | CONTINENTAL AMERICAN INSURANCE COMPANY | $181 | — | $181 | 0.38% |
| DENNIS J CASSENS3 Filed as: DENNIS CASSENS | 4646 EAST MARRILL ROAD BYRON, IL 61010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $142 | — | $142 | 0.29% |
| KANDACE M MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $119 | — | $119 | 0.25% |
| MADELEINE NELSON3 | 230 HIGHLAND AVENUE APT 1C ARLINGTON HEIGHTS, IL 60005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $80 | — | $80 | 0.17% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61568 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.08% |
| TIMOTHY B ASBY3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IL 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.08% |
| SCOTT LYDEN3 Filed as: SCOTT F LYDEN | 1284 ROSEGATE COURT AURORA, IL 60504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.05% |
| ELIZABETH A LENZO3 | 349 EAST CALIFORNIA BOULEVARD PASANDENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| KNUTE NELSON3 Filed as: KNUTE T NELSON | 3920 KIPLING AVENUE MINNEAPOLIS, MN 55416 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| TODD DEVOSS3 | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY | PO BOX 6588 MCHENRY, IL 60051 | LIFESECURE INSURANCE COMPANY | $3K | — | $3K | 9.47% |
| RESOURCE BROKERAGE LLC3 | 1501 EAST WOODFIELD ROAD SCHAUMGURG, IL 60173 | LIFESECURE INSURANCE COMPANY | $1K | — | $1K | 4.13% |
| BROADTOWER INSURANCE SOLUTIONS3 | 4400 MACARTHUR BOULEVARD NEWPORT BEACH, CA 92660 | LIFESECURE INSURANCE COMPANY | $291 | — | $291 | 1.05% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY | PO BOX 658 MCHENRY, IL 60051 | LIFESECURE INSURANCE COMPANY | $2K | — | $2K | 8.66% |
| RESOURCE BROKERAGE LLC3 Filed as: RESOURCE BROKERAGE, LLC | 1501 EAST WOODFIELD ROAD SCHAUMBURG, IL 60173 | LIFESECURE INSURANCE COMPANY | $762 | — | $762 | 4.07% |
| BROADTOWER INSURANCE SOLUTIONS3 | 4400 MACARTHUR BOULEVARD NEWPORT BEACH, CA 92660 | LIFESECURE INSURANCE COMPANY | $186 | — | $186 | 0.99% |
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 | 565 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 17 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 587 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 444 | $2.7M |
| Dental | DELTA DENTAL OF ILLINOIS | 351 | $149K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 556 | $56K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 162 | $69K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 556 | $61K |
| Other(4 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 556 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 556 | — |
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.