| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS. SERVICES USA INC. | 1018 W. 9TH AVE. KING OF PRUSSIA, PA 194061225 | BLUECROSS BLUESHIELD OF ILLINOIS | $40K | — | $40K | 1.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFITS SERVICE | INC. 750 WARRENVILLE RD. STE. 400 LISLE, IL 605320902 | BLUECROSS BLUESHIELD OF ILLINOIS | $20K | — | $20K | 0.74% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | NATIONAL, INC. 10 S. WACKER DR. CHICAGO, IL 606067453 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $57 | $8K | 6.72% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFIT SERVICES | INC. 750 WARRENVILLE RD. STE. 400 LISLE, IL 605320902 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $853 | $3K | 2.71% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | NATIONAL, INC. 1018 W. 9TH AVE. KING OF PRUSSIA, PA 194061225 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.44% |
| USI INSURANCE SERVICES LLC3 Filed as: WELLS FARGO D/B/A USI INSURANCE | SERVICES NATIONAL, INC. 10 S. WACKER DR. CHICAGO, IL 606067453 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $57 | $9K | 8.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFIT SERVICES | INC. 750 WARRENVILLE RD. STE. 400 LISLE, IL 605320902 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $723 | $2K | 2.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS. SERVICES USA INC. | — | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.43% |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 365 | $2.7M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 367 | $116K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $107K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $107K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.