| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEIS INSURANCE AGENCY LLC | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | BLUECROSS BLUESHIELD OF ILLINOIS | $55K | — | $55K | 2.60% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD INS AGENCY | PO BOX 83 MONTROSE, IL 62445 | AFLLAC | $14K | $389 | $14K | 9.76% |
| TARA JORDAN | 800 LAKESHORE DR TUSCOLA, IL 61953 | AFLLAC | $3K | $84 | $3K | 1.95% |
| TIMOTHY INGRAM | 1731 MOUNT ZION RD JACKSONVILLE, IL 62650 | AFLLAC | $2K | $84 | $2K | 1.29% |
| DEBORAH NELSON Filed as: DEBORAH CLARE NELSON | 625 FAIRVIEW DR STE 123 CARSON CITY, NV 89701 | AFLLAC | $2K | $30 | $2K | 1.24% |
| REBECCA M. HARRIS Filed as: REBECCA HARRIS | 8788 N 775TH ST ALTAMONT, IL 62411 | AFLLAC | $1K | — | $1K | 0.77% |
| JUDY PALS | PO BOX 432 210 N OAK ST TEUTOPOLIS, IL 62467 | AFLLAC | $965 | — | $965 | 0.67% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLLAC | $796 | $13 | $809 | 0.56% |
| KIMBERLY S. ECKERTY Filed as: KIMBERLY ECKERTY | 503 N 25TH ST CASEY, IL 62420 | AFLLAC | $670 | $120 | $790 | 0.55% |
| SHARYL K BATHE Filed as: SHARYL JUNEAU | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLLAC | $565 | — | $565 | 0.39% |
| IVONE G CRUZ Filed as: IVONE CRUZ | 1575 DELUCCHI LN STE 223 RENO, NV 89502 | AFLLAC | $432 | $7 | $439 | 0.30% |
| CAMBRIA WILLIAMS | 1757 DELUCCHI LN STE 223 RENO, NV 89502 | AFLLAC | $404 | $7 | $411 | 0.28% |
| MARVIN E HARSTON Filed as: MARVIN HARSTON | 1801 WOODFIELD DR SAVOY, IL 61874 | AFLLAC | $328 | $25 | $353 | 0.24% |
| TROY OWENS | 238 S MADISON ST KINMUNDY, IL 62854 | AFLLAC | $326 | — | $326 | 0.23% |
| KEITH MCELYEA | 328 N STATE ROUTE 121 MT ZION, IL 62549 | AFLLAC | $245 | — | $245 | 0.17% |
| H BRIAN GIBSON | 105 ZURIC CT NASHVILLE, TN 37221 | AFLLAC | $187 | — | $187 | 0.13% |
| ROBERT OLSON | 8868 BRINDISI PARK AVE LAS VEGAS, NV 89148 | AFLLAC | $170 | — | $170 | 0.12% |
| GK JOHNSON INC | 326 HOLLOW OAK DR UNIT B SUMMERVILLE, SC 29486 | AFLLAC | $167 | — | $167 | 0.12% |
| DEVIN PEGRAM BALL Filed as: DEVIN BALL | 536 TEAL DR CHATHAM, IL 62629 | AFLLAC | $133 | — | $133 | 0.09% |
| TERRY SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLLAC | $99 | — | $99 | 0.07% |
| AARON J DUNNILL Filed as: AARON DUNNILL | 1137 E 5000N RD BOURBONNAIS, IL 60914 | AFLLAC | $70 | $25 | $95 | 0.07% |
| JORDAN FUNK | 917 COUNTY ROAD 100 N THOMPSONVILLE, IL 62890 | AFLLAC | $90 | — | $90 | 0.06% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 11839 STEPHENVILLE DR FRISCO, TX 75035 | AFLLAC | $90 | — | $90 | 0.06% |
| CURTIS WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLLAC | $79 | — | $79 | 0.05% |
| TRACI R BATTEN Filed as: TRACI BATTEN | 375 HARBOUR COVE DR APT 323 SPARKS, NV 89434 | AFLLAC | $73 | — | $73 | 0.05% |
| JUDY PALS | PO BOX 432 TEUTOPOLIS, IL 62467 | AFLLAC | $73 | — | $73 | 0.05% |
| AARON WELLBAUM | 20022 N 800TH ST JEWETT, IL 62436 | AFLLAC | $68 | — | $68 | 0.05% |
| CARRIE EDWARDS | 121 S JACQUES ST ARCOLA, IL 61910 | AFLLAC | $55 | — | $55 | 0.04% |
| GARY W WARE JR Filed as: GARY WARE JR | 3103 MEADOWBROOK DR CHAMPAIGN, IL 61822 | AFLLAC | $47 | — | $47 | 0.03% |
| DAVID M COUGHLIN Filed as: DAVID COUGHLIN | 1400 SUN COPPER DR LAS VEGAS, NV 89117 | AFLLAC | $44 | — | $44 | 0.03% |
| WILLIAM B KRZCIOK Filed as: WILLIAM KRZCIOK | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLLAC | $37 | — | $37 | 0.03% |
| GEORGE P OWENS Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLLAC | $35 | — | $35 | 0.02% |
| LINDA WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLLAC | $23 | — | $23 | 0.02% |
| TRAVIS COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLLAC | $20 | — | $20 | 0.01% |
| ROBERT ARNOLD | 2200 E DEVON AVE STE 357 DES PLAINES, IL 60018 | AFLLAC | $18 | — | $18 | 0.01% |
| CHRISTIE MARZARI | 3343 LANELL LN PEARL, MS 39208 | AFLLAC | $16 | — | $16 | 0.01% |
| FREDRICK EITEL | 602 N 8TH ST MARSHALL, IL 62441 | AFLLAC | $13 | — | $13 | 0.01% |
| GREGORY SHARP | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLLAC | $10 | — | $10 | 0.01% |
| KEVIN CURTIS | 1712 19TH ST STE 208 BAKERSFIELD, CA 93301 | AFLLAC | $10 | — | $10 | 0.01% |
| MARTHA MONCKTON | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLLAC | $9 | — | $9 | 0.01% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLLAC | $9 | — | $9 | 0.01% |
| JAMES M BROCK Filed as: JAMES BROCK | 3116 WILLIAMSON COUNTY PKWY MARION, IL 62959 | AFLLAC | $9 | — | $9 | 0.01% |
| BRIAN R KIMMEL Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AFLLAC | $8 | — | $8 | 0.01% |
| P. DAVID PETERS Filed as: P DAVID PETERS | 500 RIDGECREST DR PUNTA GORDA, FL 33982 | AFLLAC | $8 | — | $8 | 0.01% |
| TAMMY KILGORE | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLLAC | $7 | — | $7 | 0.00% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLLAC | $5 | — | $5 | 0.00% |
| KEVIN CURTIS | PO BOX 11185 RENO, NV 89510 | AFLLAC | $4 | — | $4 | 0.00% |
| KEVIN CURTIS | 1712 19TH ST #208 BAKERSFIELD, CA 93301 | AFLLAC | $3 | — | $3 | 0.00% |
| LORI WARE | 5611 THOME LOOP THE VILLAGES, FL 32163 | AFLLAC | $2 | — | $2 | 0.00% |
| KYLE J HORN Filed as: KYLE HORN | 2222 W GERALD CT PEORIA, IL 61615 | AFLLAC | $1 | — | $1 | 0.00% |
| JOSEPH LEDOUX | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLLAC | $1 | — | $1 | 0.00% |
| CHRISTIAN WOMACK | 1665 ALBANY ST GRAYSLAKE, IL 60030 | AFLLAC | $1 | — | $1 | 0.00% |
| WEIS INSURANCE AGENCY LLC | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 8.89% |
| WEIS INSURANCE AGENCY LLC | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | MUTUAL OF OMAHA | $1K | — | $1K | 7.74% |
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 | 376 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 376 | $2.1M |
| Dental(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 376 | $2.3M |
| Vision(2 contracts, 2 carriers) | AFLLAC | 174 | $158K |
| Life insurance(3 contracts, 3 carriers) | AFLLAC | 174 | $197K |
| Short-term disability | AFLLAC | 174 | $145K |
| Other | AFLLAC | 174 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 376 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.