| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAY WEIDENAAR & CO3 | 7239 WEST LARAWAY ROAD FRANKFORT, IL 60423 | BLUECROSS BLUESHIELD OF ILLINOIS | $373K | $2 | $373K | 4.95% |
| S AND S ACTIVEWEAR, LLC3 | 220 REMINGTON 3RD FLOOR BOLINGBROOK, IL 60440 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $2 | $2 | 0.00% |
| RAY WEIDENAAR & CO3 | 7239 WEST LARAWAY ROAD FRANKFORT, IL 60423 | METROPOLITAN LIFE INSURANCE COMPANY | $18K | — | $18K | 2.77% |
| RESOURCE BROKERAGE LLC3 | 1501 EAST WOODFIELD ROAD SUITE 110E SCHAUMBURG, IL 60173 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 1.53% |
| RAY WEIDENAAR & CO3 Filed as: RAY WEIDENAAR & COMPANY | 7239 WEST LARAWAY ROAD FRANKFORT, IL 60423 | DEARBORN LIFE INSURANCE COMPANY | $26K | — | $26K | 4.20% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES, INC | 1607 NORTH AURORA ROAD #201 NAPERVILLE, IL 60563 | DEARBORN LIFE INSURANCE COMPANY | — | $3K | $3K | 0.49% |
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 | 1,558 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 296 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,857 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 1,153 | $7.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,404 | $637K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,404 | $637K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 1,516 | $620K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 1,516 | $620K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 1,516 | $620K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 1,516 | $620K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,516 | — |
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.