| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEIS INSURANCE AGENCY LLC Filed as: WEIS INSURANCE AGENCY | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | BLUECROSS BLUESHIELD OF ILLINOIS | $48K | $2K | $50K | 3.11% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $11K | $324 | $12K | 9.23% |
| H BRIAN GIBSON | 240 WILSON PIKE CR STE 200 BRENTWOOD, TN 37027 | AFLAC | $2K | $18 | $2K | 1.35% |
| REBECCA M. HARRIS Filed as: REBECCA HARRIS | 8788 N 775TH ST ALTAMONT, IL 62411 | AFLAC | $2K | $179 | $2K | 1.35% |
| JUDY PALS | 210 N OAK ST TEUTOPOLIS, IL 62467 | AFLAC | $1K | — | $1K | 1.20% |
| TARA JORDAN | 800 LAKESHORE DR TUSCOLA, IL 61953 | AFLAC | $1K | $90 | $1K | 1.01% |
| SHARYL BATHE | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $612 | $83 | $695 | 0.55% |
| ROBERT OLSON | 11112 AMARILLO ST ALTA LOMA, CA 91701 | AFLAC | $279 | $131 | $410 | 0.33% |
| SHARYL K BATHE Filed as: SHARYL JUNEAU | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $376 | — | $376 | 0.30% |
| GARY W JOHNSON Filed as: GARY JOHNSON | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $283 | — | $283 | 0.23% |
| KEITH MCELYEA | 328 N STATE ROUTE 121 MT ZION, IL 62549 | AFLAC | $234 | — | $234 | 0.19% |
| LINDA WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $180 | — | $180 | 0.14% |
| DEVIN M PEGRAM Filed as: DEVIN PEGRAM | 1450 LENHART RD SPRINGFIELD, IL 62711 | AFLAC | $165 | — | $165 | 0.13% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 4700 LOIRE CT ARGYLE, TX 76226 | AFLAC | $128 | $26 | $154 | 0.12% |
| CURTIS WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $152 | — | $152 | 0.12% |
| TERRY SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $129 | — | $129 | 0.10% |
| JUDY PALS | PO BOX 432 TEUTOPOLIS, IL 62467 | AFLAC | $116 | — | $116 | 0.09% |
| JORDAN FUNK | 917 COUNTY RD 100 N THOMPSONVILLE, IL 62890 | AFLAC | $110 | — | $110 | 0.09% |
| TRACI R BATTEN Filed as: TRACI BATTEN | 216 W MAITLAND BLVD MAITLAND, FL 32751 | AFLAC | $103 | — | $103 | 0.08% |
| GARY W WARE JR Filed as: GARY WARE JR | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $100 | — | $100 | 0.08% |
| DAVID M COUGHLIN Filed as: DAVID COUGHLIN | 2229 WHITE MIST DR LAS VEGAS, NV 89134 | AFLAC | $68 | $26 | $94 | 0.08% |
| ROBERT OLSON | 2700 W RICHMAR AVE UNIT 187 LAS VEGAS, NV 89123 | AFLAC | $93 | — | $93 | 0.07% |
| ROBERT ARNOLD | 2200 E DEVON AVE STE 357 DES PLAINES, IL 60018 | AFLAC | $90 | — | $90 | 0.07% |
| CAMBRIA WILLIAMS | 401 RYLAND ST STE 204 RENO, NV 89502 | AFLAC | $76 | — | $76 | 0.06% |
| AARON WELLBAUM | 20022 N 800TH ST JEWETT, IL 62436 | AFLAC | $75 | — | $75 | 0.06% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $75 | — | $75 | 0.06% |
| CARRIE EDWARDS | 121 S JACQUES ST ARCOLA, IL 61910 | AFLAC | $57 | — | $57 | 0.05% |
| CAMBRIA WILLIAMS | 748 S MEADOWS PKWY STE A9-315 RENO, NV 89521 | AFLAC | $51 | — | $51 | 0.04% |
| WILLIAM B KRZCIOK Filed as: WILLIAM KRZCIOK | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLAC | $51 | — | $51 | 0.04% |
| FREDRICK EITEL | 602 N 8TH ST MARSHALL, IL 62441 | AFLAC | $49 | — | $49 | 0.04% |
| GEORGE P OWENS Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $31 | — | $31 | 0.02% |
| MICHAEL RAY ROBINS Filed as: MICHAEL ROBINS | 3909 SUNDEW CT PLANO, TX 75093 | AFLAC | $31 | — | $31 | 0.02% |
| P. DAVID PETERS Filed as: P DAVID PETERS | 500 RIDGECREST DR PUNTA GORDA, FL 33982 | AFLAC | $31 | — | $31 | 0.02% |
| ANITA PAGEL | 9296 N 1410TH ST EFFINGHAM, IL 62401 | AFLAC | $29 | — | $29 | 0.02% |
| TROY OWENS | 7770 HOARD RD ALMA, IL 62807 | AFLAC | $29 | — | $29 | 0.02% |
| CHRISTOPHER THIES | 905 E JEFFERSON AVE EFFINGHAM, IL 62401 | AFLAC | $28 | — | $28 | 0.02% |
| CHRISTIE MARZARI | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $23 | — | $23 | 0.02% |
| TRAVIS COCKBURN | 402 N MAIN ST BENTON, IL 62812 | AFLAC | $22 | — | $22 | 0.02% |
| GARY NIEMERG | 11 ROLLIN HILLS BLVD EFFINGHAM, IL 62401 | AFLAC | $20 | — | $20 | 0.02% |
| CAMBRIA WILLIAMS | 9190 DOUBLE DIAMOND PKWY RENO, NV 89521 | AFLAC | $18 | — | $18 | 0.01% |
| THE PROFECTUS GROUP LLC | 900 N KINGSBURY ST APT 823 CHICAGO, IL 60610 | AFLAC | $18 | — | $18 | 0.01% |
| KENNETH KOEBELE | 5364 E 1400TH AVE WHEELER, IL 62479 | AFLAC | $17 | — | $17 | 0.01% |
| KEVIN CURTIS | 401 RYLAND ST STE 204 RENO, NV 89502 | AFLAC | $17 | — | $17 | 0.01% |
| TRAVIS COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLAC | $15 | — | $15 | 0.01% |
| DEBORAH L SENN Filed as: DEBORAH SENN | 230 BRIGGS RANCH DR FOLSOM, CA 95630 | AFLAC | $13 | — | $13 | 0.01% |
| GREGORY SHARP | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $12 | — | $12 | 0.01% |
| THE PROFECTUS GROUP LLC | 7000 W 111TH ST STE 215 WORTH, IL 60482 | AFLAC | $11 | — | $11 | 0.01% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $11 | — | $11 | 0.01% |
| MARTHA MONCKTON | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLAC | $11 | — | $11 | 0.01% |
| BRIAN R KIMMEL Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AFLAC | $11 | — | $11 | 0.01% |
| TAMMY KILGORE | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $10 | — | $10 | 0.01% |
| JAMES M BROCK Filed as: JAMES BROCK | 1501 SANDBAR DR MARION, IL 62959 | AFLAC | $10 | — | $10 | 0.01% |
| LORI WARE | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $6 | — | $6 | 0.00% |
| CHRISTIAN WOMACK | 32960 N THREE OAKS LN LIBERTYVILLE, IL 60048 | AFLAC | $4 | — | $4 | 0.00% |
| JOSEPH LEDOUX | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $4 | — | $4 | 0.00% |
| KYLE J HORN Filed as: KYLE HORN | 2119 W GERALD DR PEORIA, IL 61615 | AFLAC | $1 | — | $1 | 0.00% |
| RUSSELL THOMAS | 611 E BROADWAY ST TOLONO, IL 61880 | AFLAC | $1 | — | $1 | 0.00% |
| HARRY HOAGLAND | 405 EVANS ST COVINGTON, IN 47932 | AFLAC | $1 | — | $1 | 0.00% |
| WEIS INSURANCE AGENCY LLC | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | GUARDIAN LIFE INSURANCE COMPANY | $7K | — | $7K | 11.45% |
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 | 359 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 359 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 366 | $1.6M |
| Dental | AFLAC | 180 | $125K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 314 | $186K |
| Short-term disability | AFLAC | 180 | $125K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 366 | $1.6M |
| Other | AFLAC | 180 | $125K |
| 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.