| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID DANZIG & ASSOCIATES3 | 570 LAKE COOK ROAD SUITE 210 DEERFIELD, IL 60015 | HUMANA INSURANCE COMPANY | $34K | $398 | $35K | 4.21% |
| DAVID DANZIG & ASSOCIATES3 | 570 LAKE COOK ROAD SUITE 210 DEERFIELD, IL 60015 | HUMANADENTAL INSURANCE COMPANY | $4K | $2K | $6K | 9.18% |
| ORLANDO R DOBRINCU3 | 15419 WEST 127TH STREET LEMONT, IL 60439 | AFLAC | $632 | — | $632 | 3.60% |
| DAVID DANZIG & ASSOCIATES3 | 570 LAKE COOK ROAD SUITE 210 DEERFIELD, IL 60458 | AFLAC | $560 | — | $560 | 3.19% |
| JUANITA PATTERSON3 | 8454 SOUTH 86TH AVENUE JUSTICE, IL 60458 | AFLAC | $533 | $2 | $535 | 3.05% |
| NORMA HUERTA3 | 14420 SOUTH ALBANY AVENUE POSEN, IL 60469 | AFLAC | $454 | — | $454 | 2.59% |
| JEFFREY LYNN LAMBERT3 | 15419 WEST 127TH STREET LEMONT, IL 60439 | AFLAC | $275 | — | $275 | 1.57% |
| EDGAR E PUNTI3 | 5004 NORTH SPRINGFIELD AVENUE FLOOR 2 CHICAGO, IL 60625 | AFLAC | $223 | — | $223 | 1.27% |
| ROGERS BENEFIT GROUP INC3 Filed as: JOHN P ROGERS | 824 PORTLAND DRIVE SCHAUMBURG, IL 60194 | AFLAC | $102 | — | $102 | 0.58% |
| MICHAEL I STONESIFER3 | 14674 PEPPERIDGE AVENUE GRAND HAVEN, MI 49417 | AFLAC | $100 | — | $100 | 0.57% |
| NORMA HUERTA3 | 14420 SOUTH ALBANY AVENUE POSEN, IL 60468 | AFLAC | $92 | — | $92 | 0.52% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA V REDDING | 71 COUNTRY CLUB DRIVE BLOOMINGDALE, IL 60108 | AFLAC | $82 | — | $82 | 0.47% |
| JOSHUA J PARISE3 | 7325 JANES AVENUE WOODRIDGE, IL 60517 | AFLAC | $60 | — | $60 | 0.34% |
| KIMBERLEY A DOBRINCU3 | 837 LINDEN CIRCLE HOFFMAN ESTATES, IL 60169 | AFLAC | $55 | — | $55 | 0.31% |
| JODY D WINTERS3 | 6014 GIESEKE DRIVE CRYSTAL LAKE, IL 60014 | AFLAC | $37 | — | $37 | 0.21% |
| GARY A SPANRAFT3 | 58 GREENHEDGE CIRCLE DELAWARE, OH 43015 | AFLAC | $33 | — | $33 | 0.19% |
| JEFF LAMBERT3 | 15419 WEST 127TH STREET LEMONT, IL 60439 | AFLAC | $26 | — | $26 | 0.15% |
| MICHAEL SALVAGGIO3 | 1510 GLEN LAKE ROAD HOFFMAN ESTATES, IL 60169 | AFLAC | $17 | — | $17 | 0.10% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AFLAC | $17 | — | $17 | 0.10% |
| JAMES CAPPEL3 | 926 CARRIE AVENUE ROCHELLE, IL 61068 | AFLAC | $17 | — | $17 | 0.10% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW COURT ZIONSVILLE, IN 46077 | AFLAC | $14 | — | $14 | 0.08% |
| STEVE C HATHORN3 | 4N960 MIDDLECREEK LANE SAINT CHARLES, IL 60175 | AFLAC | $11 | — | $11 | 0.06% |
| RICHARD N KOZLOWSKI3 | 39W195 CLIFF DRIVE ELGIN, IL 60124 | AFLAC | $10 | — | $10 | 0.06% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AFLAC | $8 | — | $8 | 0.05% |
| ELIZABETH M GASPAROVIC3 | 1531 WEST RUE JAMES PLACE PALATINE, IL 60067 | AFLAC | $7 | — | $7 | 0.04% |
| MICHAEL A ORTIZ3 | 3433 VOLTAIRE LANE ST CHARLES, IL 60175 | AFLAC | $6 | — | $6 | 0.03% |
| DENNIS J CASSENS3 | 4646 EAST MARRILL ROAD BYRON, IL 61010 | AFLAC | $3 | — | $3 | 0.02% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $3 | — | $3 | 0.02% |
| ELIZABETH A LENZO3 | 1840 VIA DEL REY SOUTH PASADENA, CA 91030 | AFLAC | $1 | — | $1 | 0.01% |
| GREGORY J SHARP3 | 702 EAST 5TH STREET COAL VALLEY, IL 61240 | AFLAC | $1 | — | $1 | 0.01% |
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 | 160 | 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) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 160 | $820K |
| Dental(2 contracts, 2 carriers) | HUMANADENTAL INSURANCE COMPANY | 108 | $80K |
| Vision | HUMANADENTAL INSURANCE COMPANY | 108 | $63K |
| Life insurance | HUMANA INSURANCE COMPANY | 160 | $820K |
| Other(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 160 | $837K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 160 | — |
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.