| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TASK INSURANCE GROUP, LLC3 Filed as: TASK INSURANCE, LLC | 1821 WALDEN OFFICE SQ SUITE 350 SCHAUMBURG, IL 60173 | PRINCIPAL LIFE INSURANCE COMPANY | $21K | $0 | $21K | 6.70% |
| TASK INSURANCE GROUP, LLC3 | 1821 WALDEN OFFICE SQUARE SCHAUMBURG, IL 60173 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12K | $0 | $12K | 15.24% |
| MJ INSURANCE3 Filed as: LORA WATSON AND VARIOUS AGENTS | PO BOX 1663 MAGNOLIA, TX 77353 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $1K | $7K | 9.08% |
| LINDA CANTU3 | 902 WEST 12TH STREET FREEPORT, TX 77541 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $833 | $3K | 3.99% |
| JOHNSON SCHAFF3 | 2124 WASHINGTON AVENUE WILMETTE, IL 60091 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 2.83% |
| DAVID TODD WEINSTEIN3 | 601 WEST JACKSON BOULEVARD UNIT 912 CHICAGO, IL 60661 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $721 | $660 | $1K | 1.72% |
| ERNESTO ELOY GARCIA3 | 2600 YORKSHIRE STREET IRVING, TX 75061 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $427 | $105 | $532 | 0.66% |
| L H FINANCIAL SERVICES INC3 Filed as: L H FINANCIAL SERVICES, INC. | 6695 HIDDEN BROOK TRAIL COLLEGE PARK, GA 30349 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $375 | $115 | $490 | 0.61% |
| TASK INSURANCE GROUP, LLC3 | 1821 WALDEN OFFICE SQUARE SUITE 350 SCHAUMBURG, IL 60173 | EYEMED VISION CARE | $4K | $0 | $4K | 10.43% |
| TASK INSURANCE GROUP, LLC3 | 1821 WALDEN OFFICE SQUARE SCHAUMBURG, IL 60173 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 14.98% |
| REBECCA STERNBERG3 | 374 MILFORD ROAD DEERFIELD, IL 60015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $103 | $8 | $111 | 1.36% |
| JOHNSON SCHAFF3 | 2124 WASHINGTON AVENUE WILMETTE, IL 60091 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $106 | $0 | $106 | 1.30% |
| JORGE ALEJANDRO MONTEMAYOR3 Filed as: JORGE H. CASTELLANOS | 7441 FIGURA DRIVE JUSTICE, IL 60458 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $63 | $18 | $81 | 0.99% |
| DAVID TODD WEINSTEIN3 | 601 WEST JACKSON BOULEVARD UNIT 912 CHICAGO, IL 60661 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | $19 | $55 | 0.67% |
| MJ INSURANCE3 Filed as: JAIR GARCIA AND VARIOUS AGENTS | 4048 WEST 63RD STREET CHICAGO, IL 60629 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | $0 | $51 | 0.62% |
| MICHAEL BLOCK3 | 16619 SOUTH PINECREEK DRIVE LOCKPORT, IL 60441 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $42 | $8 | $50 | 0.61% |
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 | 330 | 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) | 330 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 711 | $320K |
| Vision | EYEMED VISION CARE | 482 | $36K |
| Life insurance(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 711 | $409K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 711 | $320K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 711 | $320K |
| Other(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 711 | $409K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 711 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.