| 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 | $49K | $2K | $51K | 3.05% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $8K | $669 | $9K | 6.95% |
| REBECCA M. HARRIS Filed as: REBECCA HARRIS | 8788 N 775TH ST ALTAMONT, IL 62411 | AFLAC | $3K | — | $3K | 2.04% |
| JUDY PALS | 210 N OAK ST TEUTOPOLIS, IL 62467 | AFLAC | $1K | — | $1K | 1.05% |
| H BRIAN GIBSON | 8075 SAWYER BROWN RD APT 208 NASHVILLE, TN 37221 | AFLAC | $713 | $129 | $842 | 0.65% |
| SHARYL K BATHE Filed as: SHARYL JUNEAU | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $828 | — | $828 | 0.64% |
| DEVIN PEGRAM BALL Filed as: DEVIN BALL | 1450 LENHART RD SPRINGFIELD, IL 62711 | AFLAC | $791 | $30 | $821 | 0.63% |
| TROY OWENS | 7770 HOARD RD ALMA, IL 62807 | AFLAC | $785 | $5 | $790 | 0.61% |
| CAMBRIA WILLIAMS | 748 S MEADOWS PKWY STE A9-315 RENO, NV 89521 | AFLAC | $738 | $13 | $751 | 0.58% |
| TARA JORDAN | 800 LAKESHORE DR TUSCOLA, IL 61953 | AFLAC | $457 | $102 | $559 | 0.43% |
| KEITH MCELYEA | 328 N STATE ROUTE 121 MT ZION, IL 62549 | AFLAC | $540 | — | $540 | 0.41% |
| GARY W JOHNSON Filed as: GARY JOHNSON | 802 LITTLE CREEK RD ANDERSON, SC 29621 | AFLAC | $255 | — | $255 | 0.20% |
| ROBERT OLSON | 2700 W RICHMAR AVE UNIT 187 LAS VEGAS, NV 89123 | AFLAC | $224 | — | $224 | 0.17% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $224 | — | $224 | 0.17% |
| LINDA WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $147 | — | $147 | 0.11% |
| CURTIS WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $146 | — | $146 | 0.11% |
| TERRY SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $126 | — | $126 | 0.10% |
| JUDY PALS | PO BOX 432 TEUTOPOLIS, IL 62467 | AFLAC | $115 | — | $115 | 0.09% |
| JORDAN FUNK | 917 COUNTY RD 100 N THOMPSONVILLE, IL 62890 | AFLAC | $101 | — | $101 | 0.08% |
| TRACI R BATTEN Filed as: TRACI BATTEN | 375 HARBOUR COVE DR APT 323 SPARKS, NV 89434 | AFLAC | $92 | — | $92 | 0.07% |
| GARY WOOD ASSOCIATES, INC. Filed as: GARY WARE | 3103 MEADOWBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $92 | — | $92 | 0.07% |
| ROBERT ARNOLD | 2200 E DEVON AVE STE 357 DES PLAINES, IL 60018 | AFLAC | $83 | — | $83 | 0.06% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $78 | — | $78 | 0.06% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 4700 LOIRE CT ARGYLE, TX 76226 | AFLAC | $69 | — | $69 | 0.05% |
| AARON WELLBAUM | 20022 N 800TH ST JEWETT, IL 62436 | AFLAC | $64 | — | $64 | 0.05% |
| CARRIE EDWARDS | 121 S JACQUES ST ARCOLA, IL 61910 | AFLAC | $57 | — | $57 | 0.04% |
| WILLIAM B KRZCIOK Filed as: WILLIAM KRZCIOK | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLAC | $47 | — | $47 | 0.04% |
| DAVID M COUGHLIN Filed as: DAVID COUGHLIN | 2229 WHITE MIST DR LAS VEGAS, NV 89134 | AFLAC | $45 | — | $45 | 0.03% |
| FREDRICK EITEL | 602 N 8TH ST MARSHALL, IL 62441 | AFLAC | $40 | — | $40 | 0.03% |
| GEORGE P OWENS Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $32 | — | $32 | 0.02% |
| P. DAVID PETERS Filed as: P DAVID PETERS | 500 RIDGECREST DR PUNTA GORDA, FL 33982 | AFLAC | $31 | — | $31 | 0.02% |
| THE PROFECTUS GROUP LLC | 450 W WILSON BRIDGE RD STE 110 WORTHINGTON, OH 43085 | AFLAC | $28 | — | $28 | 0.02% |
| TRAVIS COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLAC | $28 | — | $28 | 0.02% |
| CHRISTOPHER THIES | 905 E JEFFERSON AVE EFFINGHAM, IL 62401 | AFLAC | $24 | — | $24 | 0.02% |
| ANITA PAGEL | 9296 N 1410TH ST EFFINGHAM, IL 62401 | AFLAC | $23 | — | $23 | 0.02% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 11839 STEPHENVILLE DR FRISCO, TX 75035 | AFLAC | $23 | — | $23 | 0.02% |
| CHRISTIE MARZARI | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $23 | — | $23 | 0.02% |
| GARY NIEMERG | 11 ROLLIN HILLS BLVD EFFINGHAM, IL 62401 | AFLAC | $20 | — | $20 | 0.02% |
| MICHAEL RAY ROBINS Filed as: MICHAEL ROBINS | 3909 SUNDEW CT PLANO, TX 75093 | AFLAC | $18 | — | $18 | 0.01% |
| DEBORAH L SENN Filed as: DEBORAH SENN | 230 BRIGGS RANCH DR FOLSOM, CA 95630 | AFLAC | $13 | — | $13 | 0.01% |
| BRIAN R KIMMEL Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AFLAC | $11 | — | $11 | 0.01% |
| GREGORY SHARP | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $11 | — | $11 | 0.01% |
| KEVIN CURTIS | 401 RYLAND ST STE 204 RENO, NV 89502 | AFLAC | $8 | $2 | $10 | 0.01% |
| MARTHA MONCKTON | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLAC | $9 | — | $9 | 0.01% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $9 | — | $9 | 0.01% |
| JAMES M BROCK Filed as: JAMES BROCK | 3116 WILLIAMSON COUNTY PKWY MARION, IL 62959 | AFLAC | $9 | — | $9 | 0.01% |
| TAMMY KILGORE | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $9 | — | $9 | 0.01% |
| TRACI R BATTEN Filed as: TRACI BATTEN | 3150 PERIMETER PKWY STE 115 AUGUSTA, GA 30909 | AFLAC | $8 | — | $8 | 0.01% |
| JOSEPH LEDOUX | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $4 | — | $4 | 0.00% |
| CHRISTIAN WOMACK | 32960 N THREE OAKS LN LIBERTYVILLE, IL 60048 | AFLAC | $4 | — | $4 | 0.00% |
| LORI WARE | 3103 MEADOWBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $4 | — | $4 | 0.00% |
| HARRY HOAGLAND | 604 N NEW ST CHAMPAIGN, IL 61820 | AFLAC | $1 | — | $1 | 0.00% |
| RUSSELL THOMAS | 2701 HERITAGE DR CHAMPAIGN, IL 61822 | AFLAC | $1 | — | $1 | 0.00% |
| KYLE J HORN Filed as: KYLE HORN | 2119 W GERALD DR PEORIA, IL 61615 | AFLAC | $1 | — | $1 | 0.00% |
| KENNETH KOEBELE | 5364 E 1400TH AVE WHEELER, IL 62479 | AFLAC | $1 | — | $1 | 0.00% |
| WEIS INSURANCE AGENCY LLC Filed as: WEIS INSURANCE AGENCY | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | DEARBORN LIFE INSURANCE COMPANY | $7K | — | $7K | 12.38% |
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 | 358 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 358 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 358 | $1.7M |
| Dental | AFLAC | 0 | $130K |
| Vision | AFLAC | 0 | $130K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 314 | $188K |
| Short-term disability | AFLAC | 0 | $130K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 358 | $1.7M |
| Other | AFLAC | 0 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 358 | — |
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.