| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | FOUR WESTBROOK CORPORATE CENTER STE 500 WESTCHESTER, IL 60154 | BLUECROSS BLUESHIELD OF ILLINOIS | $93K | $6K | $99K | 4.11% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS LLC | FOUR WESTBROOK CORPORATE CENTER STE 500 WESTCHESTER, IL 60154 | DEARBORN LIFE INSURANCE COMPANY | $13K | $4K | $17K | 12.68% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | 25 NW POINT BLVD STE 625 ELK GROVE VILLAGE, IL 600071033 | VISION SERVICE PLAN | $1K | — | $1K | 5.29% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN RD STE 300 BETHESDA, MD 208142554 | VISION SERVICE PLAN | $18 | — | $18 | 0.08% |
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 | 294 | 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) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 294 | $2.4M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 294 | $2.4M |
| Vision | VISION SERVICE PLAN | 120 | $22K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 256 | $134K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 256 | $134K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 256 | $134K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 256 | $134K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 294 | — |
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.