| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 353 N CLARK ST STE 1100 CHICAGO, IL 60610 | BLUECROSS BLUESHIELD OF ILLINIOIS | $61K | $3K | $64K | 2.86% |
| NATIONALHR RBN ASSOCIATES LLC3 Filed as: NATIONALHR RBN ASSOCIATES INC | 2101 NJ-70 CHERRY HILL, NJ 08003 | BLUECROSS BLUESHIELD OF ILLINIOIS | $28K | $0 | $28K | 1.25% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST STE 1100 CHICAGO, IL 60610 | BLUECROSS BLUESHIELD OF ILLINIOIS | $0 | $3K | $3K | 0.12% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 N CLARK ST STE 1100 CHICAGO, IL 60610 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $877 | $5K | 5.77% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES LLC | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07719 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 3.73% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS | 669 RIVER DR CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $674 | $674 | 0.85% |
| NATIONALHR RBN ASSOCIATES LLC3 Filed as: NATIONALHR RBN ASSOCIATES | 2101 RTE 70 E CHERRY HILL, NJ 08003 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $135 | — | $135 | 0.17% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 353 N CLARK ST STE 1100 CHICAGO, IL 60610 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $452 | $4K | 10.12% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES LLC | 1933 STATE ROUTE 35 SUITE 368 WALL TOWNSHIP, NJ 07719 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $1K | $1K | 3.75% |
| NATIONALHR RBN ASSOCIATES LLC3 Filed as: NATIONALHR RBN ASSOCIATES | 2101 NJ-70 CHERRY HILL, NJ 08003 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $324 | — | $324 | 0.83% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DR CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $324 | $324 | 0.83% |
| EUGENE P SMITH3 | 353 N CLARK ST CHICAGO, IL 60654 | DEARBORN LIFE INSURANCE COMPANY | $868 | — | $868 | 5.44% |
| RBN & ASSOCIATES, INC.3 Filed as: RBN & ASSOCIATES INC | 303 E WACKER DR STE 650 CHICAGO, IL 60601 | DEARBORN LIFE INSURANCE COMPANY | $730 | — | $730 | 4.57% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURNACE SERVICES | 800 GESSNER RD STE 300 HOUSTON, TX 77024 | DEARBORN LIFE INSURANCE COMPANY | — | $463 | $463 | 2.90% |
| GIS BENEFITS INC3 | 107 CANDLELIGHT LN STE 320 MORRIS, IL 60450 | DEARBORN LIFE INSURANCE COMPANY | — | $433 | $433 | 2.71% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY W STE 320 BLUE BELL, PA 19422 | DEARBORN LIFE INSURANCE COMPANY | — | $365 | $365 | 2.29% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 N CLARK ST STE 1100 CHICAGO, IL 60610 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $993 | $25 | $1K | 11.53% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES LLC | 1933 STATE ROUTE 35 SUITE 368 WALL TOWNSHIP, NJ 07719 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $331 | $331 | 3.75% |
| NATIONALHR RBN ASSOCIATES LLC3 Filed as: NATIONALHR RBN ASSOCIATES | 2101 NJ-70 CHERRY HILL, NJ 08003 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $222 | — | $222 | 2.51% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS | 669 RIVER DR CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $74 | $74 | 0.84% |
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 | 118 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINIOIS | 265 | $2.2M |
| Dental | BLUECROSS BLUESHIELD OF ILLINIOIS | 265 | $2.2M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 113 | $16K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 148 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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.