| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS | P.O. BOX 3009 ARLINTON HEIGHTS, IL 60006 | BLUECROSS BLUESHIELD OF ILLINOIS | $78K | $3K | $81K | 2.58% |
| 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 | $2K | $3 | $2K | 3.46% |
| CORY DUKES3 | 2613 W EVERGREEN AVE APT 3F CHICAGO, IL 60622 | AFLAC | $929 | $10 | $939 | 2.03% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $759 | $3 | $762 | 1.65% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | 360 W ILLINOIS ST APT 9A CHICAGO, IL 60654 | AFLAC | $507 | — | $507 | 1.10% |
| ALFREDO MALDONADO JR3 Filed as: ALFREDO MALDONADO JR. | 2837 HOME AVE BERWYN, IL 60402 | AFLAC | $331 | — | $331 | 0.72% |
| JORGE ALEJANDRO MONTEMAYOR3 Filed as: JORGE H CASTELLANOS | 7441 FIGURA DR JUSTICE, IL 60458 | AFLAC | $241 | — | $241 | 0.52% |
| HYUNSOO A OH3 | 1936 N CLARK ST APT 502 CHICAGO, IL 60614 | AFLAC | $203 | $3 | $206 | 0.45% |
| ORA ANDERSON3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $142 | — | $142 | 0.31% |
| CHRISTOPHER RYAN CORDON3 | 1080 BLACKHAWK DR ELGIN, IL 60120 | AFLAC | $117 | — | $117 | 0.25% |
| MARK D BARBIER3 | 23 CROYDON LN OAK BROOK, IL 60523 | AFLAC | $102 | — | $102 | 0.22% |
| ERIC BROGAN3 Filed as: ERIC SPENGEL | 1005 WESCOTT DR FORT WAYNE, IN 46818 | AFLAC | $88 | — | $88 | 0.19% |
| ANDREW CASPERSON3 Filed as: ANDREW W CASPERSON AND ASSOC LLC | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $84 | — | $84 | 0.18% |
| MATT S IBACH3 | 1107 OXFORD ST DOWNERS GROVE, IL 60516 | AFLAC | $64 | — | $64 | 0.14% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST SUITE 625 CHICAGO, IL 60654 | AFLAC | $60 | — | $60 | 0.13% |
| ANITA BYERLY3 | 504 PORTER ST LEMONT, IL 60439 | AFLAC | $44 | $10 | $54 | 0.12% |
| SUSAN C BRIMHALL3 | P.O. BOX 336 SMITHS STATION, AL 36877 | AFLAC | $52 | — | $52 | 0.11% |
| JENNIFER R GLASSBERG3 | 307 LIVE OAK LN BOYNTON BEACH, FL 33436 | AFLAC | $49 | — | $49 | 0.11% |
| SANTIAGO & ASSOCIATES LLC3 | 950 W NORTON AVE STE 201 MUSKEGON, MI 49441 | AFLAC | $45 | — | $45 | 0.10% |
| JEFFERY A BILL3 | 1700 S MORGAN ST UNIT 4 CHICAGO, IL 60608 | AFLAC | $34 | — | $34 | 0.07% |
| DANIEL A MARINEZ3 Filed as: DANIEL MARINEZ | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $28 | — | $28 | 0.06% |
| HELENE HENDRICKSON3 | 1658 CAMDEN AVE APT 108 LOS ANGELES, CA 90025 | AFLAC | $19 | — | $19 | 0.04% |
| SUSANA MARTINEZ3 | 3062 W COURTLAND ST CHICAGO, IL 60647 | AFLAC | $14 | — | $14 | 0.03% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $12 | — | $12 | 0.03% |
| ABELARDO RODRIGUEZ3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $11 | — | $11 | 0.02% |
| ADAM H MICHAELS3 Filed as: ADAM H MICHAELS & ASSOC LTD | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $9 | — | $9 | 0.02% |
| K HARRIS & ASSOCIATES, LLC3 Filed as: K HARRIS & ASSOCIATES LLC | 950 W NORTON AVE STE 201 NORTON SHORES, MI 49441 | AFLAC | $8 | — | $8 | 0.02% |
| CHRISTINE L BREWSTER3 | 1312 FARLEY LN CHAMPAIGN, IL 61822 | AFLAC | $6 | — | $6 | 0.01% |
| K HARRIS & ASSOCIATES, LLC3 Filed as: K HARRIS & ASSOCIATES LLC | 950 W NORTON AVE STE 201 MUSKEGON, MI 49441 | AFLAC | $3 | — | $3 | 0.01% |
| MARC D BARNES3 | 148 FOSSIL LAKE CT WILMINGTON, IL 60481 | AFLAC | $2 | — | $2 | 0.00% |
| 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 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | VISION SERVICE PLAN | $368 | — | $368 | 1.74% |
| 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 | 13.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | VISION SERVICE PLAN | $274 | — | $274 | 3.56% |
| 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 | 313 | 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) | 313 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 496 | $3.1M |
| Dental | DELTA DENTAL OF ILLINOIS | 258 | $13K |
| Vision(2 contracts) | VISION SERVICE PLAN | 172 | $29K |
| Life insurance | STANDARD INSURANCE COMPANY | 309 | $56K |
| Long-term disability | STANDARD INSURANCE COMPANY | 309 | $34K |
| Other(2 contracts, 2 carriers) | AFLAC | 76 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 496 | — |
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.