| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS | P.O. BOX 3009 ARLINGTON HEIGHTS, IL 60006 | BLUECROSS BLUESHIELD OF ILLINOIS | $67K | $3K | $70K | 2.55% |
| ERIC S BIRKENSTEIN3 Filed as: ERIC BIRKENSTEIN | 892 THORNAPPLE LN GLENCOE, IL 60022 | STANDARD INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| ROCKWELL & ASSOCIATES3 Filed as: ROCKWELL & ASSOCIATESS LTD | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $3K | $8 | $3K | 7.41% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $865 | $8 | $873 | 2.01% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | 360 W ILLINOIS ST APT 9A CHICAGO, IL 60654 | AFLAC | $369 | — | $369 | 0.85% |
| MARK D BARBIER3 | 23 CROYDON LN OAK BROOK, IL 60523 | AFLAC | $163 | — | $163 | 0.37% |
| CHRISTOPHER RYAN CORDON3 | 1080 BLACKHAWK DR ELGIN, IL 60120 | AFLAC | $158 | — | $158 | 0.36% |
| ORA ANDERSON3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $136 | — | $136 | 0.31% |
| JOSEPH LARTEY3 | 5816 N SHERIDAN RD APT 3A CHICAGO, IL 60660 | AFLAC | $60 | $39 | $99 | 0.23% |
| JULIE A PARACHE3 | 4819 W ADDISON ST CHICAGO, IL 60641 | AFLAC | $91 | — | $91 | 0.21% |
| ERIC BROGAN3 Filed as: ERIC SPENGEL | 3819 BLYTHEWOOD PL FORT WAYNE, IN 46804 | AFLAC | $91 | — | $91 | 0.21% |
| MATT S IBACH3 | 1107 OXFORD ST DOWNERS GROVE, IL 60516 | AFLAC | $82 | — | $82 | 0.19% |
| NICHOLAS RINALDI3 | 116 N MAIN ST LOMBARD, IL 60148 | AFLAC | $74 | — | $74 | 0.17% |
| JORGE ALEJANDRO MONTEMAYOR3 Filed as: JORGE H CASTELLANOS | 7441 FIGURA DR JUSTICE, IL 60458 | AFLAC | $64 | — | $64 | 0.15% |
| JENNIFER R GLASSBERG3 | 307 LIVE OAK LN BOYNTON BEACH, FL 33436 | AFLAC | $49 | — | $49 | 0.11% |
| SUSAN C BRIMHALL3 | 3921 CAPE SAN BLAS RD PORT SAINT JOE, FL 32456 | AFLAC | $48 | — | $48 | 0.11% |
| SANTIAGO & ASSOCIATES LLC3 | 950 W NORTON AVE STE 201 MUSKEGON, MI 49441 | AFLAC | $45 | — | $45 | 0.10% |
| K HARRIS & ASSOCIATES, LLC3 Filed as: K HARRIS & ASSOCIATES LLC | 950 W NORTON AVE STE 201 NORTON SHORES, MI 49441 | AFLAC | $39 | — | $39 | 0.09% |
| ANDREW CASPERSON3 Filed as: ANDREW W CASPERSON AND ASSOC LLC | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $37 | — | $37 | 0.09% |
| JEFFERY A BILL3 | 1700 S MORGAN ST UNIT 4 CHICAGO, IL 60608 | AFLAC | $34 | — | $34 | 0.08% |
| DANIEL A MARINEZ3 Filed as: DANIEL MARINEZ | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $27 | — | $27 | 0.06% |
| HELENE HENDRICKSON3 | 1658 CAMDEN AVE APT 108 LOS ANGELES, CA 90025 | AFLAC | $26 | — | $26 | 0.06% |
| ABELARDO RODRIGUEZ3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $14 | — | $14 | 0.03% |
| ADAM H MICHAELS3 Filed as: ADAM H MICHAELS & ASSOC LTD | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $10 | — | $10 | 0.02% |
| SUSAN C BRIMHALL3 | 155 CYPRESS LN OLDSMAR, FL 34677 | AFLAC | $9 | — | $9 | 0.02% |
| ERIC BROGAN3 Filed as: ERIC SPENGEL | 220 INSURANCE DR STE A FORT WAYNE, IN 46825 | AFLAC | $8 | — | $8 | 0.02% |
| ERIC S BIRKENSTEIN3 Filed as: ERIC BIRKENSTEIN | 892 THORNAPPLE LN GLENCOE, IL 60022 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | P.O. BOX 3009 ARLINGTON HEIGHTS, IL 60006 | DELTA DENTAL OF ILLINOIS | $2K | — | $2K | 12.80% |
| ERIC S BIRKENSTEIN3 Filed as: ERIC S BIRKENSTIEN | 892 THORNAPPLE LN GLENCOE, IL 60022 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 20.00% |
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 | 309 | 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) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 508 | $2.8M |
| Dental | DELTA DENTAL OF ILLINOIS | 265 | $12K |
| Vision | VISION SERVICE PLAN | 156 | $12K |
| Life insurance | STANDARD INSURANCE COMPANY | 301 | $56K |
| Long-term disability | STANDARD INSURANCE COMPANY | 301 | $31K |
| Other(2 contracts, 2 carriers) | AFLAC | 74 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 508 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.