| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 Filed as: HORTON INSURANCE AGENCY INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $4K | $4K | 0.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF ILLINOIS INC. | 263 SCHUMAN BOULEVARD SUITE 110 NAPERVILLE, IL 60563 | AFLAC | $39K | — | $39K | 12.41% |
| WILLIAM S ROUSONELOS3 | 524 CA CREST DRIVE SHOREWOOD, IL 60404 | AFLAC | $2K | $509 | $3K | 0.88% |
| JEFFREY LYNN LAMBERT3 | 7 CENTER STREET HINSDALE, IL 60521 | AFLAC | $2K | — | $2K | 0.65% |
| RICHELLE M VOITIK3 | 263 SHUMAN BOULEVARD SUITE 110 NAPERVILLE, IL 60563 | AFLAC | $293 | $2K | $2K | 0.59% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $2K | — | $2K | 0.56% |
| RUBICON REGION LLC3 | 360 WEST HUBBARD STREET APARTMENT 2008 CHICAGO, IL 60654 | AFLAC | $2K | — | $2K | 0.50% |
| WESTERMAYER AND ASSOCIATES LLC3 | 5431 MONTICELLO AVENUE DALLAS, TX 75206 | AFLAC | $851 | $327 | $1K | 0.37% |
| JOSHUA J JOHNSON3 | 1209 WEST SHERWIN AVENUE CHICAGO, IL 60626 | AFLAC | $800 | $320 | $1K | 0.36% |
| JEREMY M SKEETERS3 | 9695 WEST MONTE LINDO PEORIA, AZ 85383 | AFLAC | $631 | — | $631 | 0.20% |
| CHRISTINE L BREWSTER3 | 1312 FARLEY LANE CHAMPAIGN, IL 61822 | AFLAC | $428 | — | $428 | 0.14% |
| RUBICON REGION LLC3 | 1010 LAKE STREET SUITE 430 OAK PARK, IL 60301 | AFLAC | $386 | — | $386 | 0.12% |
| GARY W WARE JR3 | 3103 MEADOWBROOK DRIVE CHAMPAIGN, IL 61822 | AFLAC | $286 | — | $286 | 0.09% |
| JOHN F SCULLY3 | 3500 BANKVIEW DRIVE JOLIET, IL 60431 | AFLAC | $277 | — | $277 | 0.09% |
| KELLEY STRAUGHAN3 | 1005 HIDDEN BRANCHES TRAIL CANTON, GA 30115 | AFLAC | $249 | — | $249 | 0.08% |
| JAMES CAPPEL3 | 926 CARRIE AVENUE ROCHELLE, IL 61068 | AFLAC | $199 | — | $199 | 0.06% |
| VICKI L CIGER3 | 4020 OAK TREE LANE PLAINFIELD, IL 60586 | AFLAC | $171 | $11 | $182 | 0.06% |
| KENT HORSMAN3 | 1600 STIFEL WOODS DRIVE CHESTERFIELD, MO 63017 | AFLAC | $180 | — | $180 | 0.06% |
| CHAD L NELSON3 | 5266 NORTH KUFALK LANE BYRON, IL 61010 | AFLAC | $178 | — | $178 | 0.06% |
| JESSICA M KNEPLER3 | 1548 BLUESTEM LANE MINOOKA, IL 60447 | AFLAC | $108 | $57 | $165 | 0.05% |
| ELAINE A WRINKLE3 | 404 TICKSEED AVENUE SAVOY, IL 61874 | AFLAC | $121 | — | $121 | 0.04% |
| WILLIAM B KRZCIOK3 | 2760 FORT MYER AVENUE HENDERSON, NV 89052 | AFLAC | $98 | — | $98 | 0.03% |
| TREVOR FENNELL3 Filed as: TREVOR R FENNELL | 11835 QUEENS BOULEVARD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $93 | — | $93 | 0.03% |
| KATHLEEN L PLEGER3 | 3087 SERENITY LANE NAPERVILLE, IL 60564 | AFLAC | $87 | — | $87 | 0.03% |
| H J SAMAAN INC3 Filed as: H J SAMAAN INC. | 19W152 21ST PLACE LOMBARD, IL 60148 | AFLAC | $78 | — | $78 | 0.02% |
| JAMES A SMAARDYK3 | 13435 SOUTH MCCALL ROUD UNIT 16 PORT CHARLOTTE, FL 33981 | AFLAC | $70 | — | $70 | 0.02% |
| MARK I SHIFMAN3 | 6517 DENNY AVENUE NORTH HOLLYWOOD, CA 91606 | AFLAC | $64 | — | $64 | 0.02% |
| VICKI LYNN TOMLINSON3 | 1603 TAYLOR MILL COURT KATY, TX 77494 | AFLAC | $61 | — | $61 | 0.02% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW COURT ZIONSVILLE, IN 46077 | AFLAC | $60 | — | $60 | 0.02% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVENUE NASHVILLE, TN 37206 | AFLAC | $59 | — | $59 | 0.02% |
| ELIZABETH A LENZO3 | 701 ALBEROSKY WAY BATAVIA, IL 60510 | AFLAC | $47 | — | $47 | 0.01% |
| OKSAN K PILAFAS3 | 838 SOUTH VILLA AVENUE VILLA PARK, IL 60181 | AFLAC | $46 | — | $46 | 0.01% |
| PEGGY A THOMAS3 Filed as: PEGGY THOMAS | 2345 FAIRCHILD LANE WESST CHICAGO, IL 60185 | AFLAC | $43 | — | $43 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 55 EAST JACKSON BOULEVARD SUITE 1400A CHICAGO, IL 60604 | AFLAC | $40 | — | $40 | 0.01% |
| MARY HANNIG3 | 725 STRAFFORD RIDGE DRIVE BALLWIN, MO 63021 | AFLAC | $35 | — | $35 | 0.01% |
| ANGELA R SCHIEK3 | 953 WILLOW LANE SLEEPY HOLLOW, IL 60118 | AFLAC | $32 | $2 | $34 | 0.01% |
| JAMES M BROCK3 | 1501 SANDBAR DRIVE MARION, IL 62959 | AFLAC | $31 | — | $31 | 0.01% |
| JV FLORIDA INSURANCE CORP3 | 2821 NORTH OCEAN BOULEVARD APARTMENT 305 FORT LAUDERDALE, FL 33308 | AFLAC | $26 | — | $26 | 0.01% |
| JOHN MANNER INSURANCE AGENCY INC.3 Filed as: JOHN S ANNIS | 1616 TAYLOR STREET JOLIET, IL 60435 | AFLAC | $23 | — | $23 | 0.01% |
| LISA MARIE QUISENBERRY3 | 638 EVANS AVENUE SAINT LOUIS, MO 63122 | AFLAC | $20 | — | $20 | 0.01% |
| SCOTT LYDEN3 | 1284 ROSEGATE COURT AURORA, IL 60504 | AFLAC | $19 | — | $19 | 0.01% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | AFLAC | $19 | — | $19 | 0.01% |
| 22 INSURANCE GROUP INC3 Filed as: 22 INSURANCE GROUP INC. | 22385 MISTY FALLS CIRCLE FRANKFORT, IL 60423 | AFLAC | $18 | — | $18 | 0.01% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA V REDDING | 71 COUNTRY CLUB DRIVE BLOOMINGDALE, IL 60108 | AFLAC | $15 | — | $15 | 0.00% |
| CHARLES L GRAY3 | 3122 MARIAS DRIVE FORT WAYNE, IN 46815 | AFLAC | $14 | — | $14 | 0.00% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $13 | — | $13 | 0.00% |
| BRAIN R KIMMEL3 | 309 BRAESWICK DRIVE LAKE ST LOUIS, MO 63367 | AFLAC | $13 | — | $13 | 0.00% |
| KNUTE NELSON3 | 3920 KIPLING AVENUE MINNEAPOLIS, MN 55416 | AFLAC | $12 | — | $12 | 0.00% |
| SCOTT A HOWARD3 | 1491 GINGER LANE SUITE 6 NEW LENOX, IL 60451 | AFLAC | $12 | — | $12 | 0.00% |
| JOHN H VRATSINAS3 | 2821 NORTH OCEAN BOULEVARD APARTMENT 305 FORT LAUDERDALE, FL 33308 | AFLAC | $12 | — | $12 | 0.00% |
| CURTIS WHEAT3 Filed as: CURTIS H WHEAT | 507 HORSESHOE LANE CASEY, IL 62420 | AFLAC | $10 | — | $10 | 0.00% |
| JOSHUA J PARISE3 | 7325 JANES AVENUE WOODRIDGE, IL 60517 | AFLAC | $9 | — | $9 | 0.00% |
| JEANNINE CAPPUSO3 Filed as: JEANNINE MARIE CAPPUSO | 7801 NORTH FEDERAL HIGHWAY BUILDING 4-202 BOCA RATON, FL 33487 | AFLAC | $9 | — | $9 | 0.00% |
| HUERTA AND ASSOCIATES INC3 Filed as: HUERTA AND ASSOCIATES INC. | 14420 SOUTH ALBANY AVENUE POSEN, IL 60469 | AFLAC | $8 | — | $8 | 0.00% |
| DENNIS J CASSENS3 | 4646 EAST MARRILL ROAD BYRON, IL 61010 | AFLAC | $4 | — | $4 | 0.00% |
| MARCHELLE Y NICHOLS-BAKER3 | 9701 SOUTH 78TH AVENUE SUITE 202 HICKORY HILLS, IL 60457 | AFLAC | $3 | — | $3 | 0.00% |
| LORI WARE3 | 3103 MEADOWBROOK DRIVE CHAMPAIGN, IL 61822 | AFLAC | $3 | — | $3 | 0.00% |
| MARCIN ZUREK3 | 1010 LAKE STREET SUITE 430 OAK PARK, IL 60301 | AFLAC | $3 | — | $3 | 0.00% |
| CHRISTIAN WOMACK3 Filed as: CHRISTIAN A WOMACK | 32960 NORTH THREE OAKS LANE LIBERTYVILLE, IL 60048 | AFLAC | $2 | — | $2 | 0.00% |
| JACQUELINE CASTRO3 Filed as: JACQUELINE S CASTRO | 131 EAST 39TH STREET APARTMENT 3 NEW YORK, NY 10016 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN W PATTEN3 | 120 MARGUERITE DRIVE SUITE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $1 | — | $1 | 0.00% |
| ADRIENNE SHOEMAKER3 Filed as: ADRIENNE L SHOEMAKER | 1501 EAST GRAND AVENUE SAINT JOSEPH, IL 61873 | AFLAC | $1 | — | $1 | 0.00% |
| JUDY PALS3 Filed as: JUDY K PALS | 210 NORTH OAK STREET P.O. BOX 432 TEUTOPOLIS, IL 62467 | AFLAC | $1 | — | $1 | 0.00% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 604675695 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 2.44% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 604675695 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $1K | $7K | 21.40% |
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 | 445 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 447 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 447 | $2.4M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 447 | $2.4M |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 383 | $20K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 445 | $77K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 445 | $45K |
| Other(3 contracts, 2 carriers) | AFLAC | 445 | $391K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 447 | — |
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.