| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DS&P INSURANCE SERVICES, INC.1 Filed as: DS & P INSURANCE SERVICES | 1900 E GOLF RD SUITE 650 SCHAUMBURG, IL 601735031 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $104K | — | $104K | 3.95% |
| WILLIS TOWERS WATSON US LLC Filed as: WILLIS OF ILLINOIS | — | BLUE CROSS BLUE SHIELD OF ILLINOIS | -$12K | — | -$12K | -0.46% |
| DS&P INSURANCE SERVICES, INC. Filed as: DS & P INSURANCE SERVICES INC. | 1900 E. GOLF RD STE 650 SCHAUMBURG, IL 60173 | THE HARTFORD | $56K | — | $56K | 11.96% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA | P.O. BOX 101162 PASADENA, CA 91189 | THE HARTFORD | $7K | — | $7K | 1.53% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS INC | 233 SOUTH WACHER DROVE SUITE 2000 CHICAGO, IL 60606 | THE HARTFORD | $6 | — | $6 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF ILLINOIS | 233 S. WACKER DR STE 2000 CHICAGO, IL 606066400 | METROPOLITAN LIFE INSURNACE COMPANY | $6K | $42 | $6K | 2.45% |
| DS&P INSURANCE SERVICES, INC. Filed as: DS & P INSURANCE SERVICES INC. | 1900 E. GOLF ROAD SUITE 650 SCHAUMBURG, IL 601735031 | VISION SERVICE PLAN | $1K | — | $1K | 5.51% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 521 | $2.6M |
| Dental | METROPOLITAN LIFE INSURNACE COMPANY | 891 | $236K |
| Vision | VISION SERVICE PLAN | 200 | $20K |
| Life insurance | THE HARTFORD | 261 | $465K |
| Short-term disability | THE HARTFORD | 261 | $465K |
| Long-term disability | THE HARTFORD | 261 | $465K |
| Other | THE HARTFORD | 261 | $465K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 891 | — |
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.