| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEYSTONE INSURANCE & BENEFITS GROUP3 | 1995 POINT TOWNSHIP DRIVE NORTHUMBERLAND, PA 17857 | BLUECROSS BLUESHIELD OF ILLINOIS | $122K | — | $122K | 4.49% |
| PALABE & ASSOCIATES LTD3 Filed as: THE PALABE GROUP, INC | 501 N RIVERSIDE DR SUITE 117 GURNEE, IL 600315918 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $1K | $1K | 0.05% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC D/B/A SOURCE 1 BENEFI | 216 S JEFFERSON ST STE LL2 CHICAGO, IL 60661 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $17 | $17K | 14.73% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC D/B/A SOURCE 1 BENEFI | 216 S JEFFERSON ST STE LL2 CHICAGO, IL 60661 | METROPOLITAN LIFE INSURANCE COMPANY | — | $301 | $301 | 0.27% |
| KEYSTONE INSURANCE & BENEFITS GROUP3 Filed as: KEYSTONE INSURANCE & BENEFITS | 13800 JACKSON RD MISHAWAKA, IN 46544 | DEARBORN LIFE INSURANCE COMPANY | $2K | — | $2K | 7.32% |
| PALABE & ASSOCIATES LTD3 Filed as: THE PALABE GROUP, INC | 501 N RIVERSIDE DR STE 117 GURNEE, IL 60031 | DEARBORN LIFE INSURANCE COMPANY | $521 | — | $521 | 2.53% |
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 | 213 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 273 | $2.7M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 249 | $112K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 199 | $21K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 199 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 273 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.