| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEIS INSURANCE AGENCY LLC Filed as: WEIS INSURANCE AGENCY, LLC | PO BOX 787 EFFINGHAM, IL 62401 | HEALTH ALLIANCE MEDICAL PLANS | $30K | — | $30K | — |
| WEIS INSURANCE AGENCY LLC Filed as: WEIS INSURANCE AGENCY, LLC | PO BOX 787 EFFINGHAM, IL 62401 | UNION SECURITY INSURANCE COMPANY | $2K | — | $2K | — |
| WEIS INSURANCE AGENCY LLC Filed as: WEIS INSURANCE AGENCY, LLC | PO BOX 787 EFFINGHAM, IL 62401 | UNION SECURITY INSURANCE COMPANY | $5K | — | $5K | — |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $5K | $252 | $5K | — |
| REBECCA M. HARRIS Filed as: REBECCA HARRIS | 8788 N 775TH ST ALTAMONT, IL 62411 | AFLAC | $2K | $52 | $2K | — |
| JUDY PALS | 210 N OAK TEUTOPOLIS, IL 62467 | AFLAC | $2K | — | $2K | — |
| SHARYL BATHE | 120 S 8TH ST MATTOON, IL 61938 | AFLAC | $632 | $52 | $684 | — |
| GARY W JOHNSON Filed as: GARY JOHNSON | 802 LITTLE CREEK RD ANDERSON, SC 29621 | AFLAC | $389 | — | $389 | — |
| TERRY SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $221 | — | $221 | — |
| CURTIS WHEAT | 11145 N FRIENDSHIP RD MARTINSVILLE, IL 62442 | AFLAC | $211 | — | $211 | — |
| LINDA WHEAT | 11145 N FRIENDSHIP RD MARTINSVILLE, IL 62442 | AFLAC | $190 | — | $190 | — |
| ROBERT ARNOLD | 2200 E DEVON AVE STE 357 DES PLAINES, IL 60018 | AFLAC | $144 | — | $144 | — |
| GARY W WARE JR Filed as: GARY WARE JR | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $142 | — | $142 | — |
| JORDAN FUNK | 1600 HERITAGE LANDING ST CHARLES, MO 63303 | AFLAC | $140 | — | $140 | — |
| TRACI R BATTEN Filed as: TRACI BATTEN | 144 BRIDGEFORT CT ROCKY MOUNTAIN, NC 27804 | AFLAC | $140 | — | $140 | — |
| FREDRICK EITEL | 40 TIMBER RIDGE LANE MARSHALL, IL 62441 | AFLAC | $108 | — | $108 | — |
| JASON HOFFARD | 3415 OFFICE PARK DR MARION, IL 62959 | AFLAC | $108 | — | $108 | — |
| AARON WELLBAUM | 20022 N 800TH ST JEWETT, IL 62436 | AFLAC | $81 | — | $81 | — |
| TRAVIS COCKBURN | 402 N MAIN ST BENTON, IL 62812 | AFLAC | $79 | — | $79 | — |
| JUDITH EALY | 115 E ELM AVE EFFINGHAM, IL 62401 | AFLAC | $74 | — | $74 | — |
| CARRIE EDWARDS | 121 S JACQUES ST ARCOLA, IL 61910 | AFLAC | $70 | — | $70 | — |
| KENNETH KOEBELE | 5364 E 1400TH AVE WHEELER, IL 62479 | AFLAC | $58 | $10 | $68 | — |
| WILLIAM B KRZCIOK Filed as: WILLIAM KRZCIOK | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLAC | $61 | — | $61 | — |
| CHRISTOPHER THIES | 905 E JEFFERSON AVE EFFINGHAM, IL 62401 | AFLAC | $56 | — | $56 | — |
| ANITA PAGEL | 9296 N 1410TH ST EFFINGHAM, IL 62401 | AFLAC | $41 | — | $41 | — |
| P. DAVID PETERS Filed as: P DAVID PETERS | 1906 N WILLOW RD URBANA, IL 61801 | AFLAC | $33 | — | $33 | — |
| GEORGE P OWENS Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $26 | — | $26 | — |
| GARY NIEMERG | 11 ROLLIN HILLS BLVD EFFINGHAM, IL 62401 | AFLAC | $22 | — | $22 | — |
| KEITH MCELYEA | 328 N STATE HWY 121 MT ZION, IL 62549 | AFLAC | $9 | — | $9 | — |
| MICHAEL RAY ROBINS Filed as: MICHAEL ROBINS | 3812 NANTUCKET DR PLANO, TX 75023 | AFLAC | $3 | — | $3 | — |
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 | 234 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 234 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ALLIANCE MEDICAL PLANS | 192 | $0 |
| Dental | AFLAC | 132 | $0 |
| Life insurance(3 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 234 | $0 |
| Short-term disability | AFLAC | 132 | $0 |
| Prescription drug | HEALTH ALLIANCE MEDICAL PLANS | 192 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.