| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KAMM INSURANCE GROUP3 | 7N024 MEDINAH RD PO BOX 129 MEDINAH, IL 60157 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $115K | $4K | $119K | 2.11% |
| KAMM INSURANCE GROUP3 Filed as: KAMM INSURANCE GROUP INC. | PO BOX 129 MEDINAH, IL 60157 | METLIFE | $7K | — | $7K | 1.46% |
| EUCLID INSURANCE SERVICES INC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | METLIFE | $7K | $4 | $7K | 1.35% |
| MYERS-BRIGGS & CO3 | 300 S WACKER DR STE 1000 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 3.36% |
| MYERS-BRIGGS & CO3 | 300 WACKER DRIVE STE 1000 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $21K | — | $21K | 14.86% |
| WORKPLACE SOLUTIONS, INC.3 | 120-A GILLIS CREEK PKWY COLUMBIA, SC 29209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $882 | $9K | 7.31% |
| KAMM INSURANCE GROUP3 | PO BOX 129 MEDINAH, IL 60157 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 3.90% |
| BENEFIT COMMUNICATIONS INC3 | 2977 SIDCO DR NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $6 | $2K | 2.00% |
| BOUDREAUX, BEAU, DAVID3 Filed as: BOUDREAUX BEAU DAVID | 120-A GILLIS CRK PKWY COLUMBIA, SC 29209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 0.85% |
| MORRIS, CHRISTOPHER, ROBERT3 Filed as: MORRIS CHRISTOPHER ROBERT | 2977 SIDCO DR NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $141 | — | $141 | 0.11% |
| KAMM INSURANCE GROUP3 | PO BOX 129 MEDINAH, IL 60157 | EYE MED | $7K | — | $7K | 9.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 ADMINISTRATOR | Contract Administrator Service code 13 | 300 EAST RANDOLPH STREET CHICAGO, IL 60601 | $0 |
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 | 1,561 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,561 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 1,561 | $5.6M |
| Dental | METLIFE | 1,620 | $494K |
| Vision | EYE MED | 1,685 | $76K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 501 | $139K |
| Short-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 798 | $526K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 798 | $402K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 412 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,685 | — |
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."
No prospect flags tripped on this filing.