| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | HEALTH CARE SERVICE CORPORATION | $98K | $4K | $102K | 3.36% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | HEALTH CARE SERVICE CORPORATION | $9K | — | $9K | 0.29% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $26K | — | $26K | 13.65% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | PO BOX 350 CONSHOHOCKEN, PA 19428 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 4.38% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N MARTINGALE RD STE 100 SCHAUMBURG, IL 60173 | DELTA DENTAL OF ILLINOIS | $15K | — | $15K | 10.00% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY INC | PO BOX 658 MCHENRY, IL 60051 | AMERICAN UNITED LIFE INSURANCE COMPANY | $5K | — | $5K | 4.95% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY | PO BOX 658 MCHENRY, IL 60051 | LIFESECURE INSURANCE COMPANY | $1K | — | $1K | 7.37% |
| RESOURCE BROKERAGE LLC3 | 1501 E WOODFIELD RD SCHAUMBURG, IL 60173 | LIFESECURE INSURANCE COMPANY | $675 | — | $675 | 3.47% |
| BROADTOWER INSURANCE SOLUTIONS3 | 2860 MICHELLE DR IRVINE, CA 92606 | LIFESECURE INSURANCE COMPANY | $165 | — | $165 | 0.85% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: HEALTH INSURANCE MART AGENCY | PO BOX 658 MCHENRY, IL 60051 | LIFESECURE INSURANCE COMPANY | $1K | — | $1K | 7.27% |
| RESOURCE BROKERAGE LLC3 | 1501 E WOODFIELD RD SCHAUMBURG, IL 60173 | LIFESECURE INSURANCE COMPANY | $527 | — | $527 | 3.49% |
| BROADTOWER INSURANCE SOLUTIONS3 | 2860 MICHELLE DR IRVINE, CA 92606 | LIFESECURE INSURANCE COMPANY | $127 | — | $127 | 0.84% |
| STEPHEN GOLEMBIEWSKI3 | 228 OAK AVE WESTMONTH, IL 60559 | CONTINENTAL AMERICAN INSURANCE COMPANY | $586 | — | $586 | 5.02% |
| JOHN STEPHEN DAY JR3 | 256 BINGHAM CT MUNDELEIN, IL 60060 | CONTINENTAL AMERICAN INSURANCE COMPANY | $569 | — | $569 | 4.88% |
| ASSURANCE AGENCY LTD3 | 20 NORTH MARTINGALE RD SUITE 100 SCHAUMBURG, IL 60173 | CONTINENTAL AMERICAN INSURANCE COMPANY | $346 | — | $346 | 2.97% |
| HEALTH INSURANCE MART AGENCY I3 Filed as: THE HEALTH INSURANCE MART AGENCY | PO NOX 658 MCHENRY, IL 60051 | CONTINENTAL AMERICAN INSURANCE COMPANY | $89 | — | $89 | 0.76% |
| DONALD J CONOYER3 | 119 OAKSHIRE DR W GLEN CARBON, IL 62034 | CONTINENTAL AMERICAN INSURANCE COMPANY | $89 | — | $89 | 0.76% |
| MICHAEL S MOORE3 | 2224 WEST WATERFORD COURT ROUND LAKE, IL 60073 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.69% |
| MARSH & MCLENNAN AGENCY LLC3 | 33213 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | CONTINENTAL AMERICAN INSURANCE COMPANY | $60 | — | $60 | 0.51% |
| MICHAEL E MCCARTHY3 | 6119 HIGHLAND LN VILLAGE OF LAKEWOOD, IL 60014 | CONTINENTAL AMERICAN INSURANCE COMPANY | $47 | — | $47 | 0.40% |
| KANDACE M MCCARTHY3 Filed as: KANDACE MARY MCCARTHY | 1171 HEAVENS GATE LAKE IN THE HILLS, IL 60156 | CONTINENTAL AMERICAN INSURANCE COMPANY | $36 | — | $36 | 0.31% |
| KELLY V ZURZOLO3 | 535 ABBEYWOOD DRIVE CARY, IL 60013 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.27% |
| JOSHUA T JONES3 | 25 GARFIELD LN STREAMWOOD, IL 60107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.05% |
| BRIAN WHITE3 Filed as: BRIAN M HANLEY | 506 CANTERBURY DRIVE LAGRANGE, GA 30241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPSYCH EIN 35-3739783 ADMINISTRATOR | Claims processing Service code 12 | — | $0 |
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 | 569 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 569 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 451 | $3.0M |
| Dental | DELTA DENTAL OF ILLINOIS | 379 | $151K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 561 | $192K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 192 | $101K |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 561 | $192K |
| Other(4 contracts, 3 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 561 | $239K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 561 | — |
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.