| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AXION RMS LTD3 | 2651 WARRENVILLE ROAF SUITE 200 DOWNERS GROVE, IL 60515 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $32K | — | $32K | 2.76% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $13K | $3K | $16K | 1.39% |
| AXION RMS LTD3 | 2651 WARRENVILLE ROAD DOWNERS GROVE, IL 60515 | SUN LIFE ASSURANCE COMPANY OF CANADA | $16K | — | $16K | 15.16% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 4.91% |
| AXION RMS LTD3 | 2651 WARRENVILLE ROAD SUITE 200 DOWNERS GROVE, IL 60515 | DELTA DENTAL OF ILLINOIS | $8K | — | $8K | 8.42% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | DELTA DENTAL OF ILLINOIS | $2K | — | $2K | 1.58% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DRIVE 358 WESTMONT, IL 60559 | VISION SERVICE PLAN | $580 | — | $580 | 6.52% |
| AXION RMS LTD3 | 2651 WARRENVILLE ROAD SUITE 200 DOWNERS GROVE, IL 60515 | VISION SERVICE PLAN | $310 | — | $310 | 3.48% |
| MID AMERICAN GROUP, INC.3 | 760 PASQUINELLI DR SUITE 358 WESTMONT, IL 60559 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $367 | — | $367 | 8.21% |
| AXION RMS LTD3 | 2651 WARRENVILLE ROAD SUITE 200 DOWNERS GROVE, IL 60515 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $41 | — | $41 | 0.92% |
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 | 214 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 276 | $1.1M |
| Dental | DELTA DENTAL OF ILLINOIS | 137 | $99K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 73 | $13K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 214 | $103K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 214 | $103K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 214 | $103K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 214 | $103K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 276 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.