| 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 | HEALTH CARE SERVICE CORPORATION | $97K | $5K | $102K | 3.61% |
| HEALTH INSURANCE MART AGENCY I3 | PO BOX 658 MCHENRY, IL 60051 | DELTA DENTAL OF ILLINOIS | $14K | $0 | $14K | 9.16% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | 20 N. MARTINGALE RD., STE. 100 SCHAUMBURG, IL 60173 | DELTA DENTAL OF ILLINOIS | $1K | $0 | $1K | 0.84% |
| HEALTH INSURANCE MART AGENCY I3 | PO BOX 658 MCHENRY, IL 60051 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $16K | $0 | $16K | 12.27% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 1.20% |
| HEALTH INSURANCE MART AGENCY I3 | PO BOX 658 MCHENRY, IL 60051 | AMERICAN UNITED LIFE INSURANCE COMPANY | $7K | $0 | $7K | 10.00% |
| STEPHEN DAY3 | UNKNOWN UNKNOWN, IL 00000 | CONTINENTAL AMERICAN INSURANCE COMPANY | $972 | $0 | $972 | 2.39% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: THE HEALTH INSURANCE MART AGENCY | PO BOX 658 MCHENRY, IL 60051 | CONTINENTAL AMERICAN INSURANCE COMPANY | $465 | $0 | $465 | 1.14% |
| DONALD J CONOYER3 | 119 OAKSHIRE DR. W GLEN CARBON, IL 62034 | CONTINENTAL AMERICAN INSURANCE COMPANY | $314 | $0 | $314 | 0.77% |
| MICHAEL S MOORE3 | 2224 WEST WATERFORD COURT ROUND LAKE, IL 60073 | CONTINENTAL AMERICAN INSURANCE COMPANY | $291 | $0 | $291 | 0.71% |
| TAMI SPENCE3 Filed as: TAMI FEDER | 1315 OLD TIMBER LANE HOFFMAN ESTATES, IL 60192 | CONTINENTAL AMERICAN INSURANCE COMPANY | $287 | $0 | $287 | 0.70% |
| KELLY V ZURZOLO3 | 535 ABBEYWOOD DRIVE CARY, IL 60013 | CONTINENTAL AMERICAN INSURANCE COMPANY | $266 | $0 | $266 | 0.65% |
| CHAD L NELSON3 | 490 EAST ROOSEVELT ROAD, SUITE 203 WEST CHICAGO, IL 60185 | CONTINENTAL AMERICAN INSURANCE COMPANY | $154 | $0 | $154 | 0.38% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $141 | $0 | $141 | 0.35% |
| DENNIS J CASSENS3 Filed as: DENNIS CASSENS | 4646 E MARRILL RD BYRON, IL 61010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $109 | $0 | $109 | 0.27% |
| KANDACE M MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $90 | $0 | $90 | 0.22% |
| JOSHUA T JONES3 | 25 GARFIELD LANE STREAMWOOD, IL 60107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $71 | $0 | $71 | 0.17% |
| MADELEINE NELSON3 | 230 S HIGHLAND AVE., APT. 1C ARLINGTON HEIGHTS, IL 60005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $62 | $0 | $62 | 0.15% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61568 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | $0 | $32 | 0.08% |
| TIMOTHY B ASBY3 | 9247 MERIDIAN ST., STE. 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $30 | $0 | $30 | 0.07% |
| SCOTT LYDEN3 Filed as: SCOTT F LYDEN | 1284 ROSEGATE CT AURORA, IL 60504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | $0 | $19 | 0.05% |
| ELIZABETH A LENZO3 | 349 E CALIFORNIA BLVD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | $0 | $6 | 0.01% |
| KNUTE NELSON3 Filed as: KNUTE T NELSON | 3920 KIPLING AVE MINNEAPOLIS, MN 55416 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| TODD DEVOSS3 | 321 CLARK STREET, SUITE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| HEALTH INSURANCE MART AGENCY I3 | PO BOX 658 MCHENRY, IL 60051 | LIFESECURE INSURANCE COMPANY | $2K | $0 | $2K | 10.50% |
| RESOURCE BROKERAGE LLC3 | 1501 E. WOODFIELD RD. SCHAUMBURG, IL 60173 | LIFESECURE INSURANCE COMPANY | $961 | $0 | $961 | 4.37% |
| BROADTOWER INSURANCE SOLUTIONS3 | 4400 MACARTHUR BLVD NEWPORT BEACH, CA 92660 | LIFESECURE INSURANCE COMPANY | $249 | $0 | $249 | 1.13% |
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 | 585 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 589 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 469 | $2.8M |
| Dental | DELTA DENTAL OF ILLINOIS | 378 | $158K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 585 | $133K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 166 | $75K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 585 | $133K |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 585 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 585 | — |
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.