| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | DEARBORN LIFE INSURANCE COMPANY | $48K | $0 | $48K | 11.70% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE, LLC | 21805 FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | DEARBORN LIFE INSURANCE COMPANY | $16K | $17K | $33K | 8.06% |
| ANTHONY LAMONT CUINGTON3 Filed as: ANTHONY L CUINGTON AND OTHER AGENTS | 1825 WEST WALNUT HILL LANE SUITE 120 IRVING, TX 75038 | AFLAC | $3K | $20 | $3K | 4.63% |
| HENRY J SAMAAN3 Filed as: HENRY J. SAMAAN | 19W152 21ST PLACE LOMBARD, IL 60148 | AFLAC | $1K | $100 | $2K | 2.31% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE, LLC | 21805 WEST FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | AFLAC | $886 | $0 | $886 | 1.31% |
| H J SAMAAN INC3 Filed as: H.J. SAMAAN, INC. | 19W152 21ST PLACE LOMBARD, IL 60148 | AFLAC | $694 | $0 | $694 | 1.02% |
| SHARON JOYCE JOHNSTON3 | 218 NORTH WILLOW STREET MANSFIELD, TX 76063 | AFLAC | $470 | $0 | $470 | 0.69% |
| L A D FINANCIAL CORP3 Filed as: L.A.D. FINANCIAL CORPORATION | 13308 ALTON ROAD PALM BEACH GARDENS, FL 33418 | AFLAC | $433 | $0 | $433 | 0.64% |
| TODD DEVOSS3 Filed as: TODD C. DEVOSS | 321 NORTH CLARK STREET, SUITE 625 CHICAGO, IL 60654 | AFLAC | $412 | $0 | $412 | 0.61% |
| LOCKTON COMPANIES, LLC3 | 500 WEST MONROE STREET, SUITE 3400 CHICAGO, IL 60661 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $3K | $0 | $3K | 5.82% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE, LLC | 21805 FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | $0 | $2K | 4.17% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE, LLC | 21805 FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $279 | $0 | $279 | 3.40% |
| HENRY J SAMAAN3 Filed as: HENRY J. SAMAAN | 19W152 21ST PLACE LOMBARD, IL 60148 | CONTINENTAL AMERICAN INSURANCE COMPANY | $155 | $0 | $155 | 1.89% |
| MJ INSURANCE3 Filed as: YALE SMITH AND VARIOUS AGENTS | 5829 BLUE HERON DRIVE LONGGROVE, IL 60047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | $0 | $144 | 1.76% |
| DEBRA POCZATKO3 | 14466 SOUTH ELIZABETH LANE HOMER GLEN, IL 60491 | CONTINENTAL AMERICAN INSURANCE COMPANY | $63 | $0 | $63 | 0.77% |
| HELENE HENDRICKSON3 | 1658 CAMDEN AVENUE APARTMENT 108 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $36 | $0 | $36 | 0.44% |
| SHARON S. WIENER3 | 8833 PICKFORD LOS ANGELES, CA 90035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | $0 | $28 | 0.34% |
| MICHAEL J. RINKE3 | 7349 PONCE AVENUE WEST HILLS, CA 91307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | $0 | $24 | 0.29% |
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 | 646 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 655 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 813 | $46K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 646 | $408K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 646 | $408K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 646 | $408K |
| Other(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 646 | $484K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 813 | — |
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.