| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JANE CLEMENS3 | 11578 E FREESIA RD MOUNT VERNON, IL 62864 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $11K | $67 | $11K | 10.99% |
| H GIBSON3 | 1 E CROWNVIEW MOUNT VERNON, IL 62864 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $5K | $174 | $5K | 5.38% |
| TROY OWENS3 | 7770 HOARD RD ALMA, IL 62807 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $1K | — | $1K | 1.51% |
| SHARYL BATHE3 | 620 ODD FELLOW RD MATOON, IL 61932 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $1K | $40 | $1K | 1.47% |
| EDDIE HINKLE3 | 1372 COUNTY RD 2200 E FAIRFIELD, IL 62837 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $945 | — | $945 | 0.96% |
| TARA JORDAN3 | 800 LAKESHORE DR TUSCOLA, IL 61953 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $482 | — | $482 | 0.49% |
| JAMES D COCKBURN3 Filed as: JAMES KOSCO | 301 INDIAN AVENUE JOHNSTON CITY, IL 62951 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $461 | — | $461 | 0.47% |
| TRAVIS COCKBURN3 | 402 N MAIN ST BENTON, IL 62812 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $426 | — | $426 | 0.43% |
| JASON HOFFARD3 | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $328 | — | $328 | 0.33% |
| JASON E COX3 Filed as: JASON COX | 308 S COURT ST MARION, IL 62959 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $256 | — | $256 | 0.26% |
| JONI L BARBRE3 Filed as: JONI BARBRE | 604 E COURT STREET APT B FAIRFIELD, IL 62837 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $190 | — | $190 | 0.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BRUCE BROWN | 7540 OLD HIGHWAY 50 FLORA, IL 62839 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $157 | — | $157 | 0.16% |
| TERRY SILVERS3 | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $138 | — | $138 | 0.14% |
| FRANK A HAMILTON3 Filed as: FRANK HAMILTON | 9504 BRIGHTON BUNKER HILL RD BUNKER HILL, IL 62014 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $126 | — | $126 | 0.13% |
| GARY W JOHNSON3 Filed as: GARY JOHNSON | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $98 | — | $98 | 0.10% |
| STEPHEN B THACKSTON3 Filed as: STEPHEN THACKSTON | 1600 S VALLEY VIEW BLVD APT 1101 LAS VEGAS, NV 89102 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $85 | — | $85 | 0.09% |
| ROSANNE GARNER3 | 203 N CEDAR ST BONE GAP, IL 62815 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $85 | — | $85 | 0.09% |
| DAVID HENDERSON3 | 2351 CRESCENT HILL DR OWENSBORO, KY 42303 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $84 | — | $84 | 0.09% |
| GARY W WARE JR3 Filed as: GARY WARE JR | 2306 VALLEY BROOK DR CHAMPAIGN, IL 61822 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $79 | — | $79 | 0.08% |
| CHERYL ANN EASLEY3 Filed as: CHERYL EASLEY | 230 CONCORD CHURCH LANE VIENNA, IL 62995 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $71 | — | $71 | 0.07% |
| JAMES M BROCK3 Filed as: JAMES COCKBURN | 1111 ANKER DR MARION, IL 62959 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $66 | — | $66 | 0.07% |
| JEREMY S KLOKKENGA3 Filed as: JEREMY KLOKKENGA | 1355 N BLUFF RD STE A COLLINSVILLE, IL 62234 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $66 | — | $66 | 0.07% |
| LINDA WHEAT3 | 507 HORSESHOE LN CASEY, IL 62420 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $61 | — | $61 | 0.06% |
| HEALTHCARE SOLUTIONS GROUP, INC.3 Filed as: HEALTHCARE SOLUTIONS LLC | PO BOX 726 HARRISBURG, IL 62946 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $45 | — | $45 | 0.05% |
| DIANN KRZCIOK3 | 2682 GRAND FORKS RD HENDERSON, NV 89052 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $32 | — | $32 | 0.03% |
| KENNETH KOEBELE3 | 5364 E 1400TH AVE WHEELER, IL 62479 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $31 | — | $31 | 0.03% |
| GARY A EBERLIN3 Filed as: GARY EBERLIN | 3415 MAPLE RIDGE DR WOOD RIVER, IL 62095 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $30 | — | $30 | 0.03% |
| CHRISTIE MARZARI3 | 1932WYNNTON RD COLUMBUS, GA 31999 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $28 | — | $28 | 0.03% |
| ROBERT D WAKE3 Filed as: ROBERT WAKE | PO BOX 87 WASHINGTON, IN 47501 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $27 | — | $27 | 0.03% |
| ROBERT SAMUEL3 | 5828 ARCTIC FOX DR CARTERVILLE, IL 62918 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $20 | — | $20 | 0.02% |
| REX D ROSENOW3 Filed as: REX ROSENOW | 6767 E 2480 ST KEWANEE, IL 61443 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $20 | — | $20 | 0.02% |
| NEIL C KNIGHT3 Filed as: NEIL KNIGHT | 1379 NW SOUZA PL CORVALLIS, OR 97330 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $17 | — | $17 | 0.02% |
| MARTHA MONCKTON3 | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $17 | — | $17 | 0.02% |
| BRUCE CROHN LLC3 Filed as: BRUCE HARRIS | 1011 HERBER ST MOUNT VERNON, IL 62864 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $16 | — | $16 | 0.02% |
| JORDAN FUNK3 | 917 COUNTY ROAD 100 N THOMPSONVILLE, IL 62890 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $16 | — | $16 | 0.02% |
| BRIAN R KIMMEL3 Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $14 | — | $14 | 0.01% |
| DEBRA HENDRICKSON3 | 17 RIDGE WOOD DRIVE MONROE, OH 45050 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $13 | — | $13 | 0.01% |
| FIRST INSURANCE AGENCY OF WHITE CIT3 | PO BOX 268 CARMI, IL 62821 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $12 | — | $12 | 0.01% |
| KENNETH CREWS3 | 1801 MARION ST CARTERVILLE, IL 62918 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $10 | — | $10 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF IN LIMITED | PO BOX 158 EVANSVILLE, IN 47701 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $9 | — | $9 | 0.01% |
| JOHN C RASCHELLA3 Filed as: JOHN RASCHELLA | 20301 GRD OAK SH BLVD 118-32 ESTERO, FL 33928 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $9 | — | $9 | 0.01% |
| JOHN TYLER3 | 18632 WOLF CREEK DRIVE EDMOND, OK 73012 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $9 | — | $9 | 0.01% |
| TAMMY KILGORE3 | 2209 BELLA FIORE LANE PONTIAC, IL 61764 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $8 | — | $8 | 0.01% |
| JAMES M BROCK3 Filed as: JAMES BROCK | 301 W BROADWAY BLVD JOHNSTON CITY, IL 62951 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $8 | — | $8 | 0.01% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $6 | — | $6 | 0.01% |
| RUTH WOLFANGEL3 | 8034 WITTS MILL LN CINCINNATI, OH 45255 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $6 | — | $6 | 0.01% |
| GEORGE P OWENS3 Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $6 | — | $6 | 0.01% |
| JOSEPH E PUPEK JR3 Filed as: JOSEPH PUPEK JR | 343 FAIRWAYS DR MACON, GA 31220 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $5 | — | $5 | 0.01% |
| BROCK M BABINGTON3 Filed as: BROCK BABINGTON | 1101 BURGESS AVE JOHNSTON CITY, IL 62951 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $5 | — | $5 | 0.01% |
| SEAN GRIFFITH3 | 202 W EICHE AVE EFFINGHAM, IL 62401 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $5 | — | $5 | 0.01% |
| GREGORY SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $5 | — | $5 | 0.01% |
| RONALD E KIRKLAND3 Filed as: RONALD KIRKLAND | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $4 | — | $4 | 0.00% |
| BRIAN DAY3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $4 | — | $4 | 0.00% |
| QUINN, MEYER & ASSOCIATES3 Filed as: QUINN MEYER & ASSOCIATES | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $2 | — | $2 | 0.00% |
| JAMES M FLETCHER3 Filed as: JAMES FLETCHER | 254 JOHN ST AURORA, IN 47001 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $2 | — | $2 | 0.00% |
| KYLE J HORN3 Filed as: KYLE HORN | 2119 W GERALD DR PEORIA, IL 61615 | AMERICAN FAMILY LIFE ASSURANCE COMPANY | $1 | — | $1 | 0.00% |
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 | 302 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 302 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERICAN FAMILY LIFE ASSURANCE COMPANY | 161 | $98K |
| Vision | AMERICAN FAMILY LIFE ASSURANCE COMPANY | 161 | $98K |
| Life insurance | AMERICAN FAMILY LIFE ASSURANCE COMPANY | 161 | $98K |
| Short-term disability | AMERICAN FAMILY LIFE ASSURANCE COMPANY | 161 | $98K |
| Long-term disability | AMERICAN FAMILY LIFE ASSURANCE COMPANY | 161 | $98K |
| Other | AMERICAN FAMILY LIFE ASSURANCE COMPANY | 161 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.