| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NORTH ILLINOIS | 220 NORTH LARKIN AVENUE JOLIET, IL 60435 | BLUE CROSS BLUE SHIELD | $306K | $81K | $386K | 2.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NORTH ILLINOIS | 220 NORTH LARKIN AVENUE JOLIET, IL 60435 | BLUE CROSS BLUE SHIELD | — | $0 | $0 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NORTH ILLINOIS | 220 NORTH LARKIN AVENUE JOLIET, IL 60435 | HMO ILLINOIS | $272K | $0 | $272K | 3.66% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NORTH ILLINOIS | 220 NORTH LARKIN AVENUE JOLIET, IL 60435 | METROPOLITAN INSURANCE COMPANY | $42K | $10K | $52K | 17.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NORTH ILLINOIS | 220 NORTH LARKIN AVENUE JOLIET, IL 60435 | AFLAC | $26K | $0 | $26K | 10.83% |
| JEFF LAMBERT3 | 15419 W 127TH STREET LEMONT, IL 60439 | AFLAC | $3K | $118 | $3K | 1.17% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 60439 | AFLAC | $3K | $0 | $3K | 1.17% |
| JOHN F SCULLY3 | 3500 BANKVIEW DRIVE JOLIET, IL 60431 | AFLAC | $1K | $118 | $2K | 0.63% |
| JEREMY M SKEETERS3 | 23645 N 55TH DRIVE GLENDALE, AZ 85310 | AFLAC | $899 | $0 | $899 | 0.37% |
| RICHELLE M VOITIK3 | 22 NORTH LARKIN AVE JOLIET, IL 60435 | AFLAC | $285 | $588 | $873 | 0.36% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD WEST CHICAGO, IL 60185 | AFLAC | $698 | $0 | $698 | 0.29% |
| KELLY STAUGHAN3 Filed as: KELLY STRAUGHAN | 1005 HIDDEN BRANCHES TRAIL CANTON, GA 30115 | AFLAC | $623 | $0 | $623 | 0.26% |
| JAMES CAPPEL3 | 24346 S DUPAGE DRIVE CHANNAHON, IL 60410 | AFLAC | $558 | $0 | $558 | 0.23% |
| CHRISTINE L BREWSTER3 | 2025 MAIN STREET QUINCY, IL 62301 | AFLAC | $456 | $0 | $456 | 0.19% |
| KENT HORSMAN | 14162 LADUE ROAD CHESTERFILED, MO 63017 | AFLAC | $383 | $0 | $383 | 0.16% |
| GARY W WARE JR3 Filed as: GARY W WARE, JR. | 2306 VALLEYBROOK DRIVE CHAMPAIGN, IL 61822 | AFLAC | $294 | $0 | $294 | 0.12% |
| TIMOTHY B ASBY3 | 9247 NOIRTH MERIDIAN ST., SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $161 | $118 | $279 | 0.12% |
| ELAINE A WRINKLE3 | 404 TICKSEED AVE SAVOY, IL 61874 | AFLAC | $244 | $0 | $244 | 0.10% |
| SCOTT A HOWARD3 | 1491 GINGER LANE NEW LENOX, IL 60451 | AFLAC | $149 | $0 | $149 | 0.06% |
| WILLIAM B KRZCIOK3 | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLAC | $111 | $0 | $111 | 0.05% |
| MARK I SHIFMAN3 | 5517 DENNY AVENUE NORTH HOLLYWOOD, CA 91606 | AFLAC | $79 | $0 | $79 | 0.03% |
| 22 INSURANCE GROUP INC Filed as: 22 INSURANCE GROUP INC. | 22385 MISTY FALLS CIRCLE FRANKFORT, IN 60423 | AFLAC | $18 | — | $18 | 0.01% |
| TERRY J SILVERS3 Filed as: TERRY J. SLIVERS | 100 BREENLEAF DRIVE FLAT ROCK, NC 28731 | AFLAC | $10 | — | $10 | 0.00% |
| JOY A HOWARD | 4249 E SANTA FE LANE GILBERT, AZ 85297 | AFLAC | $6 | — | $6 | 0.00% |
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 | 1,849 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,851 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 1,812 | $13.7M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 3,218 | $21.2M |
| Other(2 contracts, 2 carriers) | METROPOLITAN INSURANCE COMPANY | 1,554 | $547K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,218 | — |
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."
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.