| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROWN RISK MANAGEMENT, LLC3 Filed as: LAMBENT RISK MANAGEMENT SERVICES | 1 N LASALLE ST 35TH FLOOR CHICAGO, IL 60602 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $97K | — | $97K | 4.57% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LAMBENT RISK MANAGEMENT SERVICES | 1 N LASALLE ST 35TH FLOOR CHICAGO, IL 60602 | METLIFE | $14K | $0 | $14K | 9.97% |
| EUCLID MANAGERS3 | 234 SPRING LAKE DR ITASCA, IL 60143 | METLIFE | $11K | — | $11K | 8.22% |
| HENRY J SAMAAN3 Filed as: HENRY JACOB SAMAAN | 19W152 21ST PL LOMARD, IL 60148 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $12K | $22K | 16.85% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LAMBENT RISK MANAGEMENT SERVICES | 33 N LASALLE ST CHICAGO, IL 60602 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $17K | — | $17K | 13.43% |
| GERALD A GREENEN3 | ONE TOWER LN OAKBROOK TERRACE LN, IL 60181 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $651 | $7K | 5.32% |
| MARK D BARBIER3 Filed as: MARK BARBIER | 802 DEER TRAIL LN OAKBROOK, IL 60523 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $3K | $5K | 4.25% |
| ANTHONY VESTAL3 | 15512 RIDGEFIELD DR MANHATTAN, IL 60442 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $68 | $2K | 1.47% |
| ROBERT CZERWINSKI3 | 3512 STONECREEK JOLIET, IL 60435 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $946 | $429 | $1K | 1.07% |
| MONICA L LEIVA3 | 556 N ARTESIAN AVE CHICAGO, IL 60612 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $751 | — | $751 | 0.58% |
| CORCORAN & HOYT LLC3 | 12505 BRONCO DRIVE TAMPA, FL 33624 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $482 | $75 | $557 | 0.43% |
| DEBRA POCZATKO3 Filed as: DEBRA R POCZATKO | 14466 S ELIZABETH LN HOMER GLEN, IL 60491 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $477 | — | $477 | 0.37% |
| KATIE ELIZABETH KELLEY3 | 2720 S HIGHLAND AVE APT 531 LOMARD, IL 60148 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $354 | — | $354 | 0.28% |
| STEPHANIE R KLADIS3 | 7517 W HANOVER ST SUMMIT, IL 60501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $104 | — | $104 | 0.08% |
| RUSSELL R DIXON3 Filed as: RUSSELL R DIXON LLC | P.O. BOX 27 WHEATON, IL 60187 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $53 | — | $53 | 0.04% |
| NICOLAS BERLANGA CORONADO3 | 971 N ELMWOOD DR AURORA, IL 60506 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.01% |
| FELTER INC3 | 5403 COMMONWEALTH AVE WESTERN SPRINGS, IL 60558 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LAMBENT RISK MANAGEMENT SERVICES | 1 N LASALLE ST 35TH FLOOR CHICAGO, IL 60602 | UNUM | $2K | — | $2K | 4.88% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: LAMBENT RISK MANAGEMENT SERVICES | 1 N LASALLE ST 35TH FLOOR CHICAGO, IL 60602 | FIDELITY SECURITY LIFE | $854 | — | $854 | 4.88% |
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 | 285 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 248 | $2.1M |
| Dental(2 contracts, 2 carriers) | METLIFE | 285 | $170K |
| Vision | FIDELITY SECURITY LIFE | 165 | $17K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 284 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 285 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.