| 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 | $48K | $2K | $50K | 3.03% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $6K | $569 | $7K | 5.68% |
| REBECCA M. HARRIS Filed as: REBECCA HARRIS | 8788 N 775TH ST ALTAMONT, IL 62411 | AFLAC | $3K | $0 | $3K | 2.88% |
| JUDY PALS | PO BOX 432 TEUTOPOLIS, IL 62467 | AFLAC | $2K | $0 | $2K | 1.29% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD INS AGENCY | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $1K | $15 | $1K | 1.05% |
| ROBERT OLSON | 11112 AMARILLO ST ALTA LOMA, CA 91701 | AFLAC | $1K | $0 | $1K | 1.03% |
| TARA JORDAN | 800 LAKESHORE DR TUSCOLA, IL 61953 | AFLAC | $753 | $16 | $769 | 0.65% |
| ROBERT OLSON | 751 HEBRON PKWY STE 220 LEWISVILLE, TX 75057 | AFLAC | $634 | $103 | $737 | 0.63% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 4700 LOIRE CT ARGYLE, TX 76226 | AFLAC | $312 | $0 | $312 | 0.26% |
| SHARYL BATHE | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $193 | $117 | $310 | 0.26% |
| KEITH MCELYEA | 328 N STATE RT 121 MT ZION, IL 62549 | AFLAC | $296 | $0 | $296 | 0.25% |
| GARY W JOHNSON Filed as: GARY JOHNSON | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $284 | $0 | $284 | 0.24% |
| DAVID M COUGHLIN Filed as: DAVID COUGHLIN | 2220 E ROUTE 66 STE 215 GLENDORA, CA 91740 | AFLAC | $258 | $0 | $258 | 0.22% |
| LINDA WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $183 | $0 | $183 | 0.16% |
| TERRY SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $154 | $0 | $154 | 0.13% |
| CURTIS WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $151 | $0 | $151 | 0.13% |
| JUDY PALS | PO BOX 432 TEUTOPLIS, IL 62467 | AFLAC | $122 | $0 | $122 | 0.10% |
| JORDAN FUNK | 917 COUNTY RD 100 N THOMPSONVILLE, IL 62890 | AFLAC | $118 | $0 | $118 | 0.10% |
| TRACI R BATTEN Filed as: TRACI BATTEN | 216 W MAITLAND BLVD MAITLAND, FL 32751 | AFLAC | $110 | $0 | $110 | 0.09% |
| GARY W WARE JR Filed as: GARY WARE JR | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $106 | $0 | $106 | 0.09% |
| THE PROFECTUS GROUP LLC | 900 N KINGSBURY ST APT 823 CHICAGO, IL 60610 | AFLAC | $71 | $21 | $92 | 0.08% |
| ROBERT ARNOLD | 2200 E DEVON AVE STE 357 DES PLAINES, IL 60018 | AFLAC | $91 | $0 | $91 | 0.08% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 4004 CRESTWOOD DR CARROLLTON, TX 75007 | AFLAC | $84 | $0 | $84 | 0.07% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $77 | $0 | $77 | 0.07% |
| AARON WELLBAUM | 20022 N 800TH ST JEWETT, IL 62436 | AFLAC | $75 | $0 | $75 | 0.06% |
| FREDRICK EITEL | 602 N 8TH ST MARSHALL, IL 62441 | AFLAC | $66 | $0 | $66 | 0.06% |
| DEBORAH L SENN Filed as: DEBORAH SENN | 230 BRIGGS RANCH DR FOLSOM, CA 95630 | AFLAC | $36 | $21 | $57 | 0.05% |
| CARRIE EDWARDS | 121 S JACQUES ST ARCOLA, IL 61910 | AFLAC | $56 | $0 | $56 | 0.05% |
| WILLIAM B KRZCIOK Filed as: WILLIAM KRZCIOK | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLAC | $51 | $0 | $51 | 0.04% |
| CHRISTOPHER THIES | 905 E JEFFERSON AVE EFFINGHAM, IL 62401 | AFLAC | $47 | $0 | $47 | 0.04% |
| TRAVIS COCKBURN | 402 N MAIN ST BENTON, IL 62812 | AFLAC | $44 | $0 | $44 | 0.04% |
| H BRIAN GIBSON | 1 E CROWNVIEW MT VERNON, IL 62864 | AFLAC | $33 | $0 | $33 | 0.03% |
| P. DAVID PETERS Filed as: P DAVID PETERS | 500 RIDGECREST DR PUNTA GORDA, FL 33982 | AFLAC | $31 | $0 | $31 | 0.03% |
| MICHAEL RAY ROBINS Filed as: MICHAEL ROBINS | 3909 SUNDEW CT PLANO, TX 75093 | AFLAC | $31 | $0 | $31 | 0.03% |
| H BRIAN GIBSON | 240 WILSON PIKE CIR STE 200 BRENTWOOD, TN 37027 | AFLAC | $30 | $0 | $30 | 0.03% |
| ANITA PAGEL | 9296 N 1410TH ST EFFINGHAM, IL 62401 | AFLAC | $29 | $0 | $29 | 0.02% |
| GEORGE P OWENS Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $27 | $0 | $27 | 0.02% |
| CHRISTIE MARZARI | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $25 | $0 | $25 | 0.02% |
| GARY NIEMERG | 11 ROLLIN HILLS BLVD EFFINGHAM, IL 62401 | AFLAC | $20 | $0 | $20 | 0.02% |
| KENNETH KOEBELE | 5364 E 1400TH AVE WHEELER, IL 62479 | AFLAC | $17 | $0 | $17 | 0.01% |
| MARTHA MONCKTON | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLAC | $15 | $0 | $15 | 0.01% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $15 | $0 | $15 | 0.01% |
| TAMMY KILGORE | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $14 | $0 | $14 | 0.01% |
| GREGORY SHARP | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $13 | $0 | $13 | 0.01% |
| BRIAN R KIMMEL Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AFLAC | $11 | $0 | $11 | 0.01% |
| JAMES M BROCK Filed as: JAMES BROCK | 301 W BROADWAY BLVD JOHNSTON CITY, IL 62951 | AFLAC | $10 | $0 | $10 | 0.01% |
| LORI WARE | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $8 | $0 | $8 | 0.01% |
| JOSEPH LEDOUX | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $4 | $0 | $4 | 0.00% |
| CHRISTIAN WOMACK | 32960 N THREE OAKS LN LIBERTYVILLE, IL 60048 | AFLAC | $4 | $0 | $4 | 0.00% |
| HARRY HOAGLAND | 405 EVANS ST COVINGTON, IN 47932 | AFLAC | $1 | $0 | $1 | 0.00% |
| RUSSELL THOMAS | 611 E BROADWAY ST TOLONO, IL 61880 | AFLAC | $1 | $0 | $1 | 0.00% |
| KYLE J HORN Filed as: KYLE HORN | 2119 W GERALD DR PEORIA, IL 61615 | AFLAC | $1 | $0 | $1 | 0.00% |
| WEIS INSURANCE AGENCY LLC | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | GUARDIAN LIFE INSURANCE COMPANY | $6K | $0 | $6K | 11.43% |
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 | 292 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 292 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 366 | $1.6M |
| Dental | AFLAC | 167 | $118K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 292 | $174K |
| Short-term disability | AFLAC | 167 | $118K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 366 | $1.6M |
| Other | AFLAC | 167 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 366 | — |
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.