| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST STE 1100 CHICAGO, IL 60654 | HCSC | $67K | $3K | $70K | 4.01% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST STE 1100 CHICAGO, IL 60654 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $2K | $8K | 18.91% |
| ETHAN GREER4 | 325 CHEROKEE BLVD STE 102 CHATTANOOGA, TN 37405 | AFLAC | $1K | $205 | $2K | 4.35% |
| THW INSURANCE SERVICES LLC4 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $709 | $0 | $709 | 1.93% |
| KELSEY DAVID EVERT4 | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | AFLAC | $416 | $14 | $430 | 1.17% |
| TIMOTHY CHAPPELL4 | 522 ROCK SPRINGS RD WATERTOWN, TN 37184 | AFLAC | $336 | $11 | $347 | 0.94% |
| KEN S KRAVITZ4 | 8841 S 84TH CT HICKORY HILLS, IL 60457 | AFLAC | $133 | $0 | $133 | 0.36% |
| TODD DEVOSS4 Filed as: TODD C DEVOSS | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $88 | $0 | $88 | 0.24% |
| KIRK HASKINS4 | 1043 N NARCISSUS AVE BROKEN ARROW, OK 74012 | AFLAC | $73 | $0 | $73 | 0.20% |
| THOMAS M WILLIAMSON4 | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | AFLAC | $45 | $22 | $67 | 0.18% |
| MESIROW INSURANCE SERVICES INC4 | 321 N CLARK ST CHICAGO, IL 60654 | AFLAC | $54 | $0 | $54 | 0.15% |
| JAMES C FARMER JR4 | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $52 | $0 | $52 | 0.14% |
| RICK R THORNE4 Filed as: RICK THORNE | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $50 | $0 | $50 | 0.14% |
| GLEN E TWAITS4 | 2006 DOUBLE EAGLE DR MISSION, TX 78572 | AFLAC | $35 | $0 | $35 | 0.10% |
| ELIZABETH M GASPAROVIC4 | 18 N SMITH ST PALATINE, IL 60067 | AFLAC | $29 | $0 | $29 | 0.08% |
| LESLIE H SILTMAN4 | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $28 | $0 | $28 | 0.08% |
| GTS INC4 | 1284 ROSEGATE CT AURORA, IL 60504 | AFLAC | $27 | $0 | $27 | 0.07% |
| BARBIER GROUP INC4 | 23 CROYDON LN OAK BROOK, IL 60523 | AFLAC | $23 | $0 | $23 | 0.06% |
| CHRISTOPHER CRAIG WHEELER4 | 325 CHEROKEE BLVD STE 102 CHATTANOOGA, TN 37405 | AFLAC | $23 | $0 | $23 | 0.06% |
| JAIME HUTTON4 Filed as: JAIME M HUTTON | 1893 HIGHWAY 25 GALLATIN, TN 37066 | AFLAC | $23 | $0 | $23 | 0.06% |
| DAVID M CRUMLEY4 | 5111 MARYLAND WAY STE 210 BRENTWOOD, TN 37027 | AFLAC | $19 | $0 | $19 | 0.05% |
| THOMAS A JAHR4 | 17328 LINDA VISTA CIR LUTZ, FL 33548 | AFLAC | $16 | $0 | $16 | 0.04% |
| GARY W LOVELL4 | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $14 | $0 | $14 | 0.04% |
| LA FREY AND ASSOCIATES INC4 | 14466 S ELIZABETH LN HOMER GLEN, IL 60491 | AFLAC | $14 | $0 | $14 | 0.04% |
| H J SAMAAN INC4 | 19W152 21ST PL LOMBARD, IL 60148 | AFLAC | $12 | $0 | $12 | 0.03% |
| GLEN T SCHWEIKERT4 | 2211 HIGHLAND SPRINGS PL LOUISVILLE, KY 40245 | AFLAC | $11 | $0 | $11 | 0.03% |
| HUB INTERNATIONAL MIDWEST LIMITED4 Filed as: BERENDS HENDRICKS STUIT INS AGENCY | 3055 44TH ST SW GRANDVILLE, MI 49418 | AFLAC | $9 | $0 | $9 | 0.02% |
| RONALD A DASHKOVITZ4 | 20 MILLPOND TRL SAGINAW, MI 48603 | AFLAC | $8 | $0 | $8 | 0.02% |
| SHERRI L BASHORE4 | 6949 CHARLOTTE PIKE STE 105 NASHVILLE, TN 37209 | AFLAC | $8 | $0 | $8 | 0.02% |
| NOLAN DOYLE MCCUE4 | 242 HERITAGE PARK DR STE 108 MURFREESBORO, TN 37129 | AFLAC | $6 | $0 | $6 | 0.02% |
| ABBIE W COFFMAN4 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $5 | $0 | $5 | 0.01% |
| TOMMY L JOHNSON JR4 | 711 S OLIVE ST APT 314 LOS ANGELES, CA 90014 | AFLAC | $5 | $0 | $5 | 0.01% |
| RONALD H RICHEY4 | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $5 | $0 | $5 | 0.01% |
| VBTN, INC4 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $4 | $0 | $4 | 0.01% |
| GREGORY J SHARP4 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $4 | $0 | $4 | 0.01% |
| JAY S OLEARY4 | 1802 EAVES CT NOLENSVILLE, TN 37135 | AFLAC | $3 | $0 | $3 | 0.01% |
| KANDI H HECKLER4 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $2 | $0 | $2 | 0.01% |
| TIMOTHY B ASBY4 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $2 | $0 | $2 | 0.01% |
| ALAN W MARTIN4 | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOANNA G MATHERLY4 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $1 | $0 | $1 | 0.00% |
| KEMP G PILE4 | 1525 TIMBERWOOD CT SYCAMORE, IL 60178 | AFLAC | $1 | $0 | $1 | 0.00% |
| DANIEL J TAYLOR4 | 2170 N LAKE DR APT 6032 COLUMBIA, SC 29212 | AFLAC | $1 | $0 | $1 | 0.00% |
| MARC D BARNES4 | 148 FOSSIL LAKE CT WILMINGTON, IL 60481 | AFLAC | $1 | $0 | $1 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST STE 1100 CHICAGO, IL 60654 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $751 | $4K | 18.65% |
| BROWNIE D HALL4 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $338 | $0 | $338 | 2.48% |
| LESLIE H SILTMAN4 | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $261 | $0 | $261 | 1.92% |
| RICK R THORNE4 Filed as: RICK THORNE | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $216 | $0 | $216 | 1.59% |
| JAMES C FARMER JR4 Filed as: JAMES FARMER JR | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $203 | $0 | $203 | 1.49% |
| GARY W LOVELL4 | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $157 | $0 | $157 | 1.15% |
| MESIROW INSURANCE SERVICES INC4 | 321 N. CLARK ST CHICAGO, IL 60654 | AFLAC | $57 | $0 | $57 | 0.42% |
| RONALD H RICHEY4 | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $47 | $0 | $47 | 0.35% |
| KELSEY DAVID EVERT4 | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | AFLAC | $32 | $0 | $32 | 0.24% |
| KEN KRAVITZ4 | 8841 S 84TH CT HICKORY HILLS, IL 60457 | AFLAC | $20 | $0 | $20 | 0.15% |
| JAIME HUTTON4 Filed as: JAIME M HUTTON | 1893 HIGHWAY 25 GALLATIN, TN 37066 | AFLAC | $19 | $0 | $19 | 0.14% |
| ABBIE W COFFMAN4 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $16 | $0 | $16 | 0.12% |
| RONALD A DASHKOVITZ4 | 20 MILLPOND TRL SAGINAW, MI 48603 | AFLAC | $16 | $0 | $16 | 0.12% |
| DAVID M CRUMLEY4 | 5111 MARYLAND WAY STE 210 BRENTWOOD, TN 37027 | AFLAC | $16 | $0 | $16 | 0.12% |
| SHERRI L BASHORE4 | 6949 CHARLOTTE PIKE STE 105 NASHVILLE, TN 37209 | AFLAC | $16 | $0 | $16 | 0.12% |
| MESIROW INSURANCE SERVICES INC4 Filed as: MESIROW INSURANCE SERVICE INC | 321 N. CLARK ST CHICAGO, IL 60654 | AFLAC | $14 | $0 | $14 | 0.10% |
| MARCIN ZUREK4 | 210 DES PLAINES AVE UNIT D FOREST PARK, IL 60130 | AFLAC | $11 | $0 | $11 | 0.08% |
| NOLAN DOYLE MCCUE4 | 242 HERITAGE PARK DR STE 108 MURFREESBORO, TN 37129 | AFLAC | $11 | $0 | $11 | 0.08% |
| DAVID B RAY4 | 5122 STONEWOOD DR SMYRNA, TN 37167 | AFLAC | $9 | $0 | $9 | 0.07% |
| BRENT L GOODE4 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $6 | $0 | $6 | 0.04% |
| JEFFREY LYNN LAMBERT4 | 7 CENTER ST HINSDALE, IL 60521 | AFLAC | $5 | $0 | $5 | 0.04% |
| JOHN T JEWELL4 | 2428 AULDRIDGE DR CHRISTIANA, TN 37037 | AFLAC | $4 | $0 | $4 | 0.03% |
| VBTN, INC4 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $4 | $0 | $4 | 0.03% |
| KANDI H HECKLER4 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $3 | $0 | $3 | 0.02% |
| JAY S OLEARY4 | 1802 EAVES CT NOLENSVILLE, TN 37135 | AFLAC | $2 | $0 | $2 | 0.01% |
| JOSEPH L LEDOUX4 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $2 | $0 | $2 | 0.01% |
| ALAN W MARTIN4 | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AFLAC | $1 | $0 | $1 | 0.01% |
| JOANNA G MATHERLY4 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $1 | $0 | $1 | 0.01% |
| TIMOTHY B ASBY4 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $1 | $0 | $1 | 0.01% |
| AUTUMN BETHEA4 | 1053 MUNA CT SPRING HILL, TN 37174 | AFLAC | $1 | $0 | $1 | 0.01% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST STE 1100 CHICAGO, IL 60654 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 16.99% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST STE 1100 CHICAGO, IL 60654 | DELTA DENTAL OF ILLINOIS | $3K | $0 | $3K | 29.54% |
| KEN S KRAVITZ4 | P.O. BOX 1284 BRIDGEVIEW, IL 60455 | CONTINENTAL AMERICAN INSURANCE COMPANY | $83 | $0 | $83 | 1.14% |
| MESIROW INSURANCE SERVICES INC4 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST STE 1100 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $58 | $0 | $58 | 0.80% |
| NOLAN D MCCUE4 | 242 HERITAGE PARK DR STE 108 MURFREESBORO, TN 37129 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | $0 | $55 | 0.75% |
| MARCIN ZUREK4 | 1010 LAKE STREET STE 430 OAK PARK, IL 60301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | $0 | $55 | 0.75% |
| KELSEY DAVID EVERT4 Filed as: KELSEY D EVERT | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | $0 | $41 | 0.56% |
| SHERRI L BASHORE4 | PO BOX 40327 NASHVILLE, TN 37204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | $0 | $41 | 0.56% |
| JAIME HUTTON4 | 1020 MONTROSE DR GALLATIN, TN 37066 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34 | $0 | $34 | 0.47% |
| VBTN, INC4 Filed as: VBTN, INC. | 2000 GLEN ECHO ROAD STE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | $0 | $24 | 0.33% |
| JEFFREY LYNN LAMBERT4 Filed as: JEFFREY L LAMBERT | 7 CENTER STREET HINSDALE, IL 60521 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | $0 | $21 | 0.29% |
| TIMOTHY B ASBY4 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.18% |
| THERESA NETTO PHILLIPS4 Filed as: THERESA V REDDING | 71 COUNTRY CLUB DR BLOOMINGDALE, IL 60108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | $0 | $11 | 0.15% |
| COURTNEY RYAN YURCZYK4 Filed as: COURTNEY S YURCZYK | 9616 WYOMING TERRACE SOUTH BLOOMINGTON, MN 55438 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | $0 | $9 | 0.12% |
| MICHAEL ROBERT YURCZYK4 Filed as: MICHAEL R YURCZYK | 5810 W. 78TH STREET STE 210 BLOOMINGTON, MN 55439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | $0 | $4 | 0.05% |
| MARK D BARBIER4 | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.04% |
| TODD DEVOSS4 | 321 N. CLARK STREET STE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.01% |
| THORNE HALL & WHITENER INSURANCE3 | 321 WEST MAIN STREET LEBANON, TN 37087 | MADISON NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 18.00% |
| NORTH AMERICAN BENEFITS COMPANY5 | 20 VALLEY STREAM PARKWAY STE 310 MALVERN, PA 19355 | MADISON NATIONAL LIFE INSURANCE COMPANY | $477 | $0 | $477 | 8.53% |
| KEN S KRAVITZ4 | 8841 S 84TH CT HICKORY HILLS, IL 60457 | AFLAC | $42 | $0 | $42 | 4.15% |
| H J SAMAAN INC4 | 19W152 21ST PL LOMBARD, IL 60148 | AFLAC | $12 | $0 | $12 | 1.19% |
| LA FREY AND ASSOCIATES INC4 | 14466 S ELIZABETH LN HOMER GLEN, IL 60491 | AFLAC | $11 | $0 | $11 | 1.09% |
| ELIZABETH M GASPAROVIC4 | 18 N SMITH ST PALATINE, IL 60067 | AFLAC | $4 | $0 | $4 | 0.40% |
| TOMMY L JOHNSON JR4 | 711 S OLIVE ST APT 314 LOS ANGELES, CA 90014 | AFLAC | $3 | $0 | $3 | 0.30% |
| KEMP G PILE4 | 1525 TIMBERWOOD CT SYCAMORE, IL 60178 | AFLAC | $1 | $0 | $1 | 0.10% |
| DANIEL J TAYLOR4 | 2170 N LAKE DR APT 6032 COLUMBIA, SC 29212 | AFLAC | $1 | $0 | $1 | 0.10% |
| MARC D BARNES4 | 148 FOSSIL LAKE CT WILMINGTON, IL 60481 | AFLAC | $1 | $0 | $1 | 0.10% |
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 | 95 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCSC | 236 | $1.7M |
| Dental | DELTA DENTAL OF ILLINOIS | 100 | $8K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 173 | $11K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 95 | $49K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 89 | $21K |
| Prescription drug | HCSC | 236 | $1.7M |
| Other(7 contracts, 5 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 95 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.