| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LUNDSTROM INSURANCE AGENCY3 | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $100K | — | $100K | 3.69% |
| LUNDSTROM INSURANCE AGENCY3 | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $47K | $1K | $48K | 3.02% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS LLC | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $15K | — | $15K | 0.95% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF IL DBA LUNDSTRO | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $27K | — | $27K | 7.00% |
| H E INSURANCE INC | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $28 | — | $28 | 0.01% |
| LUNDSTROM INSURANCE AGENCY3 | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 3.70% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF IL DBA LUNDSTRO | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $565 | $7K | 16.25% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF IL DBA LUNDSTRO | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $358 | $5K | 15.67% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF IL DBA LUNDSTRO | 2205 POINT BLVD STE 200 ELGIN, IL 60123 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $162 | $2K | 15.86% |
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 | 989 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 989 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 304 | $4.3M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 686 | $3.1M |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 686 | $386K |
| Life insurance(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 686 | $503K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 133 | $30K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 21 | $13K |
| Other(4 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 686 | $3.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 686 | — |
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."
No prospect flags tripped on this filing.