| 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 | $61K | $2K | $62K | 3.11% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $8K | $142 | $9K | 7.10% |
| KIMBERLY S. ECKERTY Filed as: KIMBERLY ECKERTY | 503 N 25TH ST CASEY, IL 62420 | AFLAC | $3K | $69 | $3K | 2.19% |
| TROY OWENS | 238 S MADISON ST KINMUNDY, IL 62854 | AFLAC | $1K | $33 | $1K | 1.11% |
| REBECCA M. HARRIS Filed as: REBECCA HARRIS | 8788 N 775TH ST ALTAMONT, IL 62411 | AFLAC | $1K | $0 | $1K | 1.04% |
| JUDY PALS | PO BOX 432 210 N OAK ST TEUTOPOLIS, IL 62467 | AFLAC | $1K | $0 | $1K | 0.94% |
| TIMOTHY INGRAM | 1731 MT ZION RD JACKSONVILLE, IL 62650 | AFLAC | $1K | $0 | $1K | 0.84% |
| SHARYL K BATHE Filed as: SHARYL JUNEAU | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $599 | $0 | $599 | 0.49% |
| DEBORAH NELSON | 625 FAIRVIEW DR STE 123 CARSON CITY, NV 89701 | AFLAC | $361 | — | $361 | 0.30% |
| DEVIN PEGRAM BALL Filed as: DEVIN BALL | 1450 LENHART RD SPRINGFIELD, IL 62711 | AFLAC | $283 | $49 | $332 | 0.27% |
| TARA JORDAN | 800 LAKESHORE DR TUSCOLA, IL 61953 | AFLAC | $298 | $0 | $298 | 0.24% |
| KEITH MCELYEA Filed as: KEITH M CELYEA | 328 N STATE ROUTE 121 MT ZION, IL 62549 | AFLAC | $297 | $0 | $297 | 0.24% |
| H GIBSON | 8075 SAWYER BROWN RD APT 208 NASHVILLE, TN 37221 | AFLAC | $282 | $0 | $282 | 0.23% |
| GARY W JOHNSON Filed as: GARY JOHNSON | 210 CAMPBELL CR MT JULIET, TN 37122 | AFLAC | $206 | $0 | $206 | 0.17% |
| CHERYL A. FLOOD Filed as: CHERYL FLOOD | PO BOX 83 MONTROSE, IL 62445 | AFLAC | $190 | $0 | $190 | 0.16% |
| CAMBRIA WILLIAMS | 8725 TECHNOLOGY WAY STE B1 RENO, NV 89521 | AFLAC | $175 | $0 | $175 | 0.14% |
| ROBERT OLSON | 8868 BRINDISI PARK AVE LAS VEGAS, NV 89148 | AFLAC | $173 | $0 | $173 | 0.14% |
| CURTIS WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $115 | $0 | $115 | 0.09% |
| TERRY SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $108 | $0 | $108 | 0.09% |
| MAURICIO R PLATT Filed as: MAURICIO PLATT | 11839 STEPHENVILLE DR FRISCO, TX 75035 | AFLAC | $92 | $0 | $92 | 0.08% |
| JORDAN FUNK | 917 COUNTY RD 100 N THOMPSONVILLE, IL 62890 | AFLAC | $78 | $0 | $78 | 0.06% |
| TRACI R BATTEN Filed as: TRACI BATTEN | 375 HARBOUR COVE DR APT 323 SPARKS, NV 89434 | AFLAC | $75 | $0 | $75 | 0.06% |
| MARVIN E HARSTON Filed as: MARVIN HARSTON | 1801 WOODFIELD DR SAVOY, IL 61874 | AFLAC | $59 | $16 | $75 | 0.06% |
| IVONE G CRUZ Filed as: IVONE CRUZ | 8725 TECHNOLOGY WAY STE B1 RENO, NV 89521 | AFLAC | $72 | $0 | $72 | 0.06% |
| LINDA WHEAT | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $67 | $0 | $67 | 0.06% |
| JASON HOFFARD | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $67 | $0 | $67 | 0.06% |
| GARY W WARE JR Filed as: GARY WARE JR | 3103 MEADOWBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $62 | $0 | $62 | 0.05% |
| ROBERT ARNOLD | 2200 E DEVON AVE STE 357 DES PLAINES, IL 60018 | AFLAC | $61 | $0 | $61 | 0.05% |
| AARON WELLBAUM | 20022 N 800TH ST JEWETT, IL 62436 | AFLAC | $57 | $0 | $57 | 0.05% |
| CARRIE EDWARDS | 121 S JACQUES ST ARCOLA, IL 61910 | AFLAC | $54 | $0 | $54 | 0.04% |
| DAVID M COUGHLIN Filed as: DAVID COUGHLIN | 2229 WHITE MIST DR LAS VEGAS, NV 89134 | AFLAC | $45 | $0 | $45 | 0.04% |
| DIANN KRZCIOK | 17295 SHARON RD CHESANING, MI 48616 | AFLAC | $41 | $0 | $41 | 0.03% |
| GEORGE P OWENS Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $30 | $0 | $30 | 0.02% |
| TRAVIS COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLAC | $24 | $0 | $24 | 0.02% |
| FREDRICK EITEL | 602 N 8TH ST MARSHALL, IL 62441 | AFLAC | $22 | $0 | $22 | 0.02% |
| CHRISTIE MARZARI | 202 DUBLIN CT BRANDON, MS 39047 | AFLAC | $17 | $0 | $17 | 0.01% |
| PETERS, SABINA Filed as: P PETERS | 500 RIDGECREST DR PUNTA GORDA, FL 33982 | AFLAC | $16 | $0 | $16 | 0.01% |
| ANITA PAGEL | 9296 N 1410TH ST EFFINGHAM, IL 62401 | AFLAC | $16 | $0 | $16 | 0.01% |
| GARY NIEMERG | 10 JOAN MARIE DR MATTOON, IL 61938 | AFLAC | $15 | $0 | $15 | 0.01% |
| KEVIN CURTIS | 401 RYLAND ST STE 204 RENO, NV 89502 | AFLAC | $15 | $0 | $15 | 0.01% |
| CHRISTOPHER THIES | 905 E JEFFERSON AVE EFFINGHAM, IL 62401 | AFLAC | $10 | $0 | $10 | 0.01% |
| JAMES M BROCK Filed as: JAMES BROCK | 3116 WILLIAMSON COUNTY PKWY MARION, IL 62959 | AFLAC | $9 | $0 | $9 | 0.01% |
| BRIAN R KIMMEL Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AFLAC | $9 | $0 | $9 | 0.01% |
| TAMMY KILGORE | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $9 | $0 | $9 | 0.01% |
| MARTHA MONCKTON | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLAC | $8 | $0 | $8 | 0.01% |
| GREGORY SHARP | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $8 | $0 | $8 | 0.01% |
| CHRISTIAN WOMACK | 1665 ALBANY ST GRAYSLAKE, IL 60030 | AFLAC | $3 | $0 | $3 | 0.00% |
| JOSEPH LEDOUX | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $2 | $0 | $2 | 0.00% |
| LORI WARE | 5611 THOME LOOP THE VILLAGES, FL 32163 | AFLAC | $2 | $0 | $2 | 0.00% |
| RUSSELL THOMAS | 2701 HERITAGE DR CHAMPAIGN, IL 61822 | 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 Filed as: WEIS INSURANCE AGENCY | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | DEARBORN LIFE INSURANCE COMPANY | $8K | $616 | $8K | 12.87% |
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 | 318 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 318 | $2.0M |
| Dental | AFLAC | 166 | $122K |
| Vision | AFLAC | 166 | $122K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 321 | $185K |
| Short-term disability | AFLAC | 166 | $122K |
| Other | AFLAC | 166 | $122K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 321 | — |
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.