| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $975 | $13K | 11.22% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $5K | $5K | 4.49% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS, LLC | 4 WESTBROOK CORPORATE CENTER SUITE 500 WESTCHESTER, IL 60154 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $15 | $5K | 4.15% |
| A.M. INSURANCE GROUP, INC.3 Filed as: A M INSURANCE GROUP, INC. | 4N701 SCHOOL ROAD SAINT CHARLES, IL 60175 | METROPOLITAN LIFE INSURANCE COMPANY | -$1 | $277 | $276 | 0.23% |
| JOHN A. ROTOLO3 | 142 OXFORD AVENUE CLARENDON HILLS, IL 60514 | DEARBORN LIFE INSURANCE COMPANY | $77K | $0 | $77K | 73.51% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | DEARBORN LIFE INSURANCE COMPANY | $16K | $0 | $16K | 15.57% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | DEARBORN LIFE INSURANCE COMPANY | $6K | $0 | $6K | 6.01% |
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. |
| 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 287 | $120K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 287 | $120K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 261 | $105K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 261 | $105K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 261 | $105K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 261 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.