| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LASALLE BENEFITS LLC3 | — | BLUECROSS BLUESHIELD OF ILLNOIS | $91K | $1K | $92K | 3.91% |
| LASALLE BENEFITS LLC3 | — | DELTA DENTAL OF ILLNOIS | $14K | — | $14K | 9.86% |
| LASALLE BENEFITS LLC3 | 200 NORTH LA SALLE STREET SUITE 2500 CHICAGO, IL 60601 | SUN LIFE ASSURANCE COMPANY OF CANADA | $12K | — | $12K | 9.49% |
| NFP INSURANCE SERVICES INC3 | 1250 SOUTH CAPITAL OF TEXAS HIGHWAY # 2-125 AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $539 | $539 | 0.42% |
| INSURANCE APPLICATIONS GROUP3 | — | 4 EVER LIFE INSURANCE COMPANY | $2K | — | $2K | 18.00% |
| PLANNED ADMINISTRATORS, INC.3 | — | 4 EVER LIFE INSURANCE COMPANY | — | $2K | $2K | 14.50% |
| LASALLE BENEFITS LLC3 | — | 4 EVER LIFE INSURANCE COMPANY | $684 | — | $684 | 5.00% |
| PLANNED ADMINISTRATORS, INC.3 Filed as: PLANNED ADMINSTRATORS, INC. | — | BCS INSURANCE COMPANY | — | $475 | $475 | 33.71% |
| CLAIMS FUND3 | — | BCS INSURANCE COMPANY | — | $378 | $378 | 26.83% |
| INSURANCE APPLICATIONS GROUP3 | — | BCS INSURANCE COMPANY | — | $330 | $330 | 23.42% |
| FIRST HEALTH3 | — | BCS INSURANCE COMPANY | — | $49 | $49 | 3.48% |
| LASALLE BENEFITS LLC3 Filed as: LASALLE BENEFITS | — | BCS INSURANCE COMPANY | — | $44 | $44 | 3.12% |
| VERISOURCE SERVICES INC.3 | — | BCS INSURANCE COMPANY | — | $44 | $44 | 3.12% |
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 | 290 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 290 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLNOIS | 290 | $2.4M |
| Dental | DELTA DENTAL OF ILLNOIS | 198 | $139K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 349 | $128K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 349 | $141K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 349 | $141K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 349 | $128K |
| Stop-loss / reinsurancereinsurance | BCS INSURANCE COMPANY | 0 | $1K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 349 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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.