| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | DEARBORN LIFE INSURANCE COMPANY | $69K | $10K | $79K | 17.86% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | DEARBORN LIFE INSURANCE COMPANY | $0 | $8K | $8K | 1.77% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE & VARIOUS AGENTS | 21805 FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | AFLAC | $3K | $7 | $3K | 5.17% |
| HENRY J SAMAAN3 Filed as: HENRY J. SAMAAN | 19W152 21ST PLACE LOMBARD, IL 60148 | AFLAC | $1K | $30 | $1K | 2.04% |
| H J SAMAAN INC3 Filed as: H.J. SAMAAN INC. | 19W152 21ST PLACE LOMBARD, IL 60148 | AFLAC | $625 | $0 | $625 | 1.10% |
| SHARON JOYCE JOHNSTON3 | 218 NORTH WILLOW STREET MANSFIELD, TX 76063 | AFLAC | $410 | $0 | $410 | 0.72% |
| LAD FINANCIAL CORP3 Filed as: LAD FINANCIAL CORPORATION | 13308 ALTON ROAD PALM BEACH GARDENS, FL 33418 | AFLAC | $389 | $0 | $389 | 0.68% |
| LOCKTON COMPANIES, LLC3 | 717 NORTH HARWOOD STREET SUITE 2500 DALLAS, TX 75201 | AFLAC | $365 | $0 | $365 | 0.64% |
| TODD DEVOSS3 Filed as: TODD C. DEVOSS | 321 NORTH CLARK STREET, SUITE 625 CHICAGO, IL 60654 | AFLAC | $355 | $0 | $355 | 0.62% |
| LOCKTON COMPANIES, LLC3 | 500 WEST MONROE STREET, SUITE 3400 CHICAGO, IL 60661 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $5K | $0 | $5K | 10.66% |
| THE PLEXUS GROUPE LLC3 Filed as: THE PLEXUS GROUPE | 21805 FIELD PARKWAY, SUITE 300 DEER PARK, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $258 | $0 | $258 | 3.71% |
| HENRY J SAMAAN3 Filed as: HENRY J. SAMAAN | 19W152 21ST PLACE LOMBARD, IL 60148 | CONTINENTAL AMERICAN INSURANCE COMPANY | $154 | $0 | $154 | 2.21% |
| MJ INSURANCE3 Filed as: YALE SMITH AND VARIOUS AGENTS | 5829 BLUE HERON DRIVE LONGGROVE, IL 60047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $117 | $0 | $117 | 1.68% |
| DEBRA POCZATKO3 | 144666 SOUTH ELZABETH LANE HOMER GLEN, IL 60491 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | $0 | $55 | 0.79% |
| MICHAEL J. RINKE3 | 7349 PONCE AVENUE WEST HILLS, CA 91307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | $0 | $42 | 0.60% |
| HELENE HENDRICKSON3 | 1658 CAMDEN AVENUE, APARTMENT 108 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34 | $0 | $34 | 0.49% |
| SHARON S. WIENER3 | 8833 PICKFORD LOS ANGELES, CA 90035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | $0 | $26 | 0.37% |
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 | 784 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 789 | 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. | 1,002 | $50K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 790 | $442K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 790 | $442K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 790 | $442K |
| Other(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 790 | $506K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,002 | — |
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.