| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CIBC OF ILLINOIS INC3 | PO BOX 71 KANKAKEE, IL 60901 | HEALTH ALLIANCE MEDICAL PLANS | $60K | — | $60K | 13.61% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS | PO BOX 71 KANKAKEE, IL 60901 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 4.65% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS | PO BOX 71 KANKAKEE, IL 60901 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 4.42% |
| MISHA PORTER3 | 565 WILSON DR CLIFTON, IL 60927 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 2.99% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS, INC | 187 S SCHUYLER SUITE 500 KANKAKEE, IL 60901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.44% |
| JASON E COX3 Filed as: JASON COX | 308 S COURT ST MARION, IL 62959 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.41% |
| BARRY MONTALTA3 | 17 S 377TH AVE TONOPAH, AZ 85354 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.22% |
| TIMOTHY INGRAM3 | 2105 EASTLAND DR STE 13 BLOOMINGTON, IL 61704 | CONTINENTAL AMERICAN INSURANCE COMPANY | $637 | — | $637 | 0.73% |
| JEREMY S KLOKKENGA3 | 1355 N BLUFF ROAD SUITE A COLLINSVILLE, IL 62234 | CONTINENTAL AMERICAN INSURANCE COMPANY | $565 | — | $565 | 0.65% |
| TRAVIS COCKBURN3 | 402 N MAIN ST BENTON, IL 62812 | CONTINENTAL AMERICAN INSURANCE COMPANY | $553 | — | $553 | 0.64% |
| AARON J DUNNILL3 Filed as: AARON J. DUNNILL | 1137 E 5000 N RD. BOURBONNAIS, IL 60914 | CONTINENTAL AMERICAN INSURANCE COMPANY | $130 | — | $130 | 0.15% |
| JASON HOFFARD3 | 16485 BANISTER ROAD SESSER, IL 62884 | CONTINENTAL AMERICAN INSURANCE COMPANY | $74 | — | $74 | 0.09% |
| MARTHA MONCKTON3 | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | CONTINENTAL AMERICAN INSURANCE COMPANY | $72 | — | $72 | 0.08% |
| TIMOTHY J REED3 Filed as: TIMOTHY S. INGRAM | 1355 LYNNFIELD ST., STE 259 MEMPHIS, TN 33819 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.03% |
| CENTRAL ILLINOIS BENEFIT CONSULTANT3 Filed as: CENTRAL ILLINOIS BEN CONSULTANTS | P.O. BOX 71 KANKAKEE, IL 60901 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.00% |
| BSP GROUP BENEFITS INC3 Filed as: BSP GROUP BENEFITS | 206 SOUTH JEFFERSON STREET, STE 200 CHICAGO, IL 60661 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| ERIN BRZOZOWSKI, INC.3 Filed as: ERIN BRZOZOWSKI INC | 2 LIBERTY DR LEMONT, IL 60439 | AFLAC | $776 | — | $776 | 2.96% |
| ROBERT VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $491 | — | $491 | 1.87% |
| CIBC OF ILLINOIS INC3 | PO BOX 71 KANKAKEE, IL 60901 | AFLAC | $386 | — | $386 | 1.47% |
| ROBERT STALTER3 | 3714 AUBURNDALE AVE THE VILLAGES, FL 32162 | AFLAC | $242 | — | $242 | 0.92% |
| JEREMY M SKEETERS3 Filed as: JEREMY SKEETERS | 9830 W JJ RANCH RD PEORIA, AZ 85383 | AFLAC | $165 | — | $165 | 0.63% |
| DWIGHT GOSSETT3 | 13070 ABRAHAM RUN CARMEL, IN 46033 | AFLAC | $123 | — | $123 | 0.47% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $110 | — | $110 | 0.42% |
| TAMMY KILGORE3 | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $101 | — | $101 | 0.39% |
| JEFF LAMBERT3 | 7 CENTER ST HINSDALE, IL 60521 | AFLAC | $93 | — | $93 | 0.35% |
| GARY W WARE JR3 Filed as: GARY WARE JR | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $79 | — | $79 | 0.30% |
| JAMES A SMAARDYK3 Filed as: JAMES SMAARDYK | 2831 CEDAR HILLS LANE TWIN LAKE, MI 49457 | AFLAC | $76 | — | $76 | 0.29% |
| LYNNETTE E COX3 | PO BOX 265 WAUNAKEE, WI 53597 | AFLAC | $70 | — | $70 | 0.27% |
| CHRISTINE L BREWSTER3 Filed as: CHRISTINE BREWSTER | 1312 FARLEY LN CHAMPAIGN, IL 61822 | AFLAC | $69 | — | $69 | 0.26% |
| SHERRI L KALB3 | 31 PINE CT MONTROSE, IA 52639 | AFLAC | $68 | — | $68 | 0.26% |
| MARK SHIFMAN3 | 6517 DENNY AVE NORTH HOLLYWOOD, CA 91608 | AFLAC | $57 | — | $57 | 0.22% |
| LORI ANN NEWBERRY3 | 3071 175TH AVENUE ARGYLE, IA 52619 | AFLAC | $33 | — | $33 | 0.13% |
| TINA M LASSUY3 Filed as: TINA M. LASSUY | 3021 45TH ST MOLINE, IL 61265 | AFLAC | $33 | — | $33 | 0.13% |
| TIMOTHY ASBY3 | 11500 GOLDEN WILLOW CT STE 205 ZIONSVILLE, IN 46077 | AFLAC | $19 | — | $19 | 0.07% |
| KENT HORSMAN3 | 14162 LADUE RD CHESTERFIELD, MO 63017 | AFLAC | $19 | — | $19 | 0.07% |
| THOMAS MCGINN3 | 25470 PROPHET ROAD ROCK FALLS, IL 61071 | AFLAC | $19 | — | $19 | 0.07% |
| THOMAS J. ROSENGREN3 Filed as: THOMAS ROSENGREN | 1417 W 20TH ST STERLING, IL 61081 | AFLAC | $17 | — | $17 | 0.06% |
| DENNIS J CASSENS3 Filed as: DENNIS CASSENS | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $16 | — | $16 | 0.06% |
| ELIZABETH M GASPAROVIC3 Filed as: ELIZABETH GASPAROVIC | 1531 W RUE JAMES PL PALATINE, IL 60067 | AFLAC | $12 | — | $12 | 0.05% |
| JOHN D LASSUY3 Filed as: JOHN LASSUY | 4544 3RD STREET MOLINE, IL 61265 | AFLAC | $11 | — | $11 | 0.04% |
| RETHA GOODWIN3 | 705 E ELMO CT GODLEY, IL 60407 | AFLAC | $11 | — | $11 | 0.04% |
| JAMES H RAIRIGH3 Filed as: JAMES SAVAGE | 574 TEAL LN TRAVERSE CITY, MI 49686 | AFLAC | $9 | — | $9 | 0.03% |
| ALAN FILLIGER3 | 3838 1ST AVE, APT 2 SAN DIEGO, CA 92103 | AFLAC | $9 | — | $9 | 0.03% |
| SARAH SPEARS3 | 6371 CENTER DR LANARK, IL 61048 | AFLAC | $9 | — | $9 | 0.03% |
| MARK D BARBIER3 | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $8 | — | $8 | 0.03% |
| MITCHELL J MCCALL3 | 1355 N BLUFF RD STE A COLLINSVILLE, IL 62234 | AFLAC | $7 | — | $7 | 0.03% |
| RUSSELL THOMAS3 | 611 E BROADWAY ST TOLONO, IL 61880 | AFLAC | $7 | — | $7 | 0.03% |
| LESTER E WILSON3 | 211 E 3RD ST PROPHETSTOWN, IL 61277 | AFLAC | $7 | — | $7 | 0.03% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 5268 N KUFALK LN BYRON, IL 61010 | AFLAC | $6 | — | $6 | 0.02% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 14601 BROOKVIEW DR URBANDALE, IA 50323 | AFLAC | $5 | — | $5 | 0.02% |
| JOSEPH P CALARCO3 Filed as: JOSEPH NASCA | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $4 | — | $4 | 0.02% |
| TODD DEVOSS3 | 321 N CLARK ST, STE 625 CHICAGO, IL 60654 | AFLAC | $4 | — | $4 | 0.02% |
| TERRY SILVERS3 | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $4 | — | $4 | 0.02% |
| MALINDA BARTECK3 | 26110 GARDEN RD FARMER CITY, IL 61842 | AFLAC | $3 | — | $3 | 0.01% |
| BRIAN R KIMMEL3 Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST. LOUIS, MO 63367 | AFLAC | $3 | — | $3 | 0.01% |
| CURTIS WHEAT3 | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $2 | — | $2 | 0.01% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | AFLAC | $2 | — | $2 | 0.01% |
| N HARDACRE3 | 11671 GRANGE RD LANARK, IL 61046 | AFLAC | $2 | — | $2 | 0.01% |
| GEORGE P OWENS3 Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $1 | — | $1 | 0.00% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES L HAYES3 Filed as: JAMES HAYES | 1449 MARILYN DR NORTH LIBERTY, IA 52317 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN HARNISH3 | PO BOX 218 LENA, IL 61048 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIAM MCFALLS3 | 902 W 23RD ST STERLING, IL 61081 | AFLAC | $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 | 549 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ALLIANCE MEDICAL PLANS | 290 | $438K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 874 | $144K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 874 | $144K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 383 | $88K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 383 | $88K |
| Stop-loss / reinsurancereinsurance | HEALTH ALLIANCE MEDICAL PLANS | 290 | $438K |
| Other(3 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 172 | $141K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 874 | — |
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.