| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD SUITE 14A CHICAGO, IL 60604 | BLUECROSS BLUESHIELD OF ILLINOIS | $50K | $4K | $54K | 4.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD SUITE 14A CHICAGO, IL 60604 | DELTA DENTAL OF ILLINOIS | $6K | — | $6K | 7.22% |
| MICHAEL BLOCK3 | 14648 ASTON WAY LOCKPORT, IL 60448 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $677 | $2K | $3K | 3.72% |
| ACCESS BENEFIT SOLUTIONS LLC3 Filed as: ACCESS BENEFIT SOLUTIONS | 7840 NEVA AVE NILES, IL 60714 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.36% |
| RANDOLPH GUERRA3 | 1945 W SCHILLER ST CHICAGO, IL 60622 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.72% |
| HUB INTERNATIONAL MIDWEST LIMITED2 | 55 EAST JACKSON BLVD CHICAGO, IL 60604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $654 | $93 | $747 | 1.11% |
| ERIN COLLEEN LANINGA3 | 1700 HIGGINS DES PLAINES, IL 60018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $410 | $144 | $554 | 0.82% |
| CHARLES GRIM3 | 777 OAKMEADOW CT GRAYSLAKE, IL 60030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $264 | — | $264 | 0.39% |
| SHAWN DENNIS GASAWAY3 | 5516 HERITAGE CT WESTERN SPRINGS, IL 60558 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $227 | — | $227 | 0.34% |
| FELTER INC3 Filed as: FELTER INC. | 5403 COMMONWEALTH AVE. WESTERN SPRINGS, IL 60558 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $132 | $29 | $161 | 0.24% |
| AGSANT GROUP INC3 | 5500 W 35TH STREET CICERO, IL 60804 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $155 | — | $155 | 0.23% |
| MAGDALENA RUIZ DE GOMEZ3 | 4103 LAKESIDE WAY NEWNAN, GA 30265 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $111 | $3 | $114 | 0.17% |
| DAVID TODD WEINSTEIN3 | 7632 ADAMS STREET FORREST PARK, IL 60130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $75 | $114 | 0.17% |
| RICHARD STURM3 | 2150 S CANALPORT CHICAGO, IL 60608 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | $51 | $76 | 0.11% |
| ROBERTA DICKINSON3 Filed as: ROBERTA J BAKKEN | 8012 W CORNING ROAD PEOTONE, IL 60468 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | $6 | $56 | 0.08% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BLVD CHICAGO, IL 60604 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11K | — | $11K | 26.31% |
| ANGELA SCHIEK3 | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 13.11% |
| ERENIA CASTELLANOS3 Filed as: ERENIA CASTELLANOS GONZALEZ | 14628 CAPITAL DRIVE PLAINFIELD, IL 60544 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.77% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61568 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 3.22% |
| JEFFREY LYNN LAMBERT3 Filed as: JEFFREY L LAMBERT | 15419 W 127TH STREET LEMONT, IL 60439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.62% |
| DESIREE M RODRIGUEZ3 Filed as: DESIREE M RODRIQUEZ | 2107 ALPINE WAY PLAINFIELD, IL 60586 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.53% |
| MICHELLE WELTY3 | 1616 MARLBORO LN CREST HILL, IL 60542 | CONTINENTAL AMERICAN INSURANCE COMPANY | $394 | — | $394 | 0.97% |
| SUMMER L CAIN3 Filed as: SUMMER CAIN | 1620 ABINGTON LANE NORTH AURORA, IL 60542 | CONTINENTAL AMERICAN INSURANCE COMPANY | $355 | — | $355 | 0.87% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD WEST CHICAGO, IL 60185 | CONTINENTAL AMERICAN INSURANCE COMPANY | $289 | — | $289 | 0.71% |
| MICHAEL BLOCK3 | 16619 S PINECREEK DRIVE LOCKPORT, IL 60441 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $332 | $229 | $561 | 2.61% |
| RANDOLPH GUERRA3 | 1945 W SCHILLER ST CHICAGO, IL 60622 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $476 | — | $476 | 2.21% |
| ACCESS BENEFITS SOLUTIONS LLC3 Filed as: ACCESS BENEFITS SOLUTIONS | 7840 NEVA AVE NILES, IL 60714 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $453 | — | $453 | 2.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BLVD CHICAGO, IL 60604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $355 | $46 | $401 | 1.86% |
| ERIN COLLEEN LANINGA3 | 1700 HIGGINS DES PLAINES, IL 60018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $103 | — | $103 | 0.48% |
| FELTER INC3 Filed as: FELTER INC. | 5403 COMMONWEALTH AVE. WESTERN SPRINGS, IL 60558 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $69 | $6 | $75 | 0.35% |
| AGSANT GROUP INC3 Filed as: AGSANT GROUP, INC. | 5500 W 35TH STREET CICERO, IL 60804 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | — | $50 | 0.23% |
| RICHARD STURM3 | 2150 S CANALPORT CHICAGO, IL 60608 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $5 | $18 | 0.08% |
| DAVID TODD WEINSTEIN3 | 7632 ADAMS STREET FORREST PARK, IL 60130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.05% |
| ROBERTA DICKINSON3 Filed as: ROBERTA J BAKKEN | 6242 E 5000S ROAD SAINT ANNE, IL 60964 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $491 | $2K | 17.96% |
| MICHELLE WELTY3 Filed as: MICHELLE S WELTY | 15419 W 127TH STREET LEMONT, IL 60439 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $150 | — | $150 | 1.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD SUITE 14A CHICAGO, IL 60604 | PROTEC INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD SUITE 14A CHICAGO, IL 60604 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.01% |
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 | 208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 311 | $1.3M |
| Dental | DELTA DENTAL OF ILLINOIS | 143 | $78K |
| Vision | PROTEC INSURANCE COMPANY | 98 | $12K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 208 | $7K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 311 | $1.3M |
| Other(5 contracts, 4 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 208 | $149K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 311 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.