| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CIBC OF ILLINOIS INC3 | PO BOX 71 KANKAKEE, IL 60901 | HEALTH ALLIANCE MEDICAL PLANS | $60K | $7K | $67K | 13.67% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS | PO BOX 71 KANKAKEE, IL 60901 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | — | $10K | 6.35% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS | PO BOX 71 KANKAKEE, IL 60901 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 5.12% |
| MISHA PORTER3 | 565 WILSON DR CLIFTON, IL 60927 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.61% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS, INC. | 187 S. SCHUYLER SUITE 500 KANKAKEE, IL 60901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.26% |
| AARON J DUNNILL3 Filed as: AARON J. DUNNILL | 1137 E 5000 N RD. BOURBONNAIS, IL 60914 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.93% |
| JASON E COX3 Filed as: JASON COX | 308 S COURT ST MARION, IL 62959 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.32% |
| BARRY MONTALTA3 | PO BOX 181 RALEIGH, IL 62977 | CONTINENTAL AMERICAN INSURANCE COMPANY | $876 | — | $876 | 1.07% |
| TIMOTHY INGRAM3 | 2105 EASTLAND DR STE 13 BLOOMINGTON, IL 61704 | CONTINENTAL AMERICAN INSURANCE COMPANY | $535 | — | $535 | 0.66% |
| JEREMY S KLOKKENGA3 | 1355 N BLUFF ROAD SUITE A COLLINSVILLE, IL 62234 | CONTINENTAL AMERICAN INSURANCE COMPANY | $489 | — | $489 | 0.60% |
| TRAVIS COCKBURN3 | 402 N MAIN ST BENTON, IL 62812 | CONTINENTAL AMERICAN INSURANCE COMPANY | $488 | — | $488 | 0.60% |
| JEFFERY L. LAMBERT3 | 7 CENTER STREET HINSDALE, IL 60521 | CONTINENTAL AMERICAN INSURANCE COMPANY | $269 | — | $269 | 0.33% |
| JASON HOFFARD3 | 16485 BANISTER ROAD SESSER, IL 62884 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 0.08% |
| MARTHA MONCKTON3 | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 0.08% |
| TIMOTHY J REED3 Filed as: TIMOTHY S. INGRAM | 1355 LYNNFIELD ST., STE 259 MEMPHIS, TN 33819 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| ERIN BRZOZOWSKI, INC.3 Filed as: ERIN BRZOZOWSKI INC | 2 LIBERTY DR LEMONT, IL 60439 | AFLAC | $699 | — | $699 | 3.00% |
| ROBERT VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $487 | — | $487 | 2.09% |
| CIBC OF ILLINOIS INC3 | PO BOX 71 KANKAKEE, IL 60901 | AFLAC | $362 | — | $362 | 1.55% |
| ROBERT STALTER3 | 3714 AUBURNDALE AVE THE VILLAGES, FL 32162 | AFLAC | $241 | — | $241 | 1.03% |
| JEREMY M SKEETERS3 Filed as: JEREMY SKEETERS | 9830 W JJ RANCH RD PEORIA, AZ 85383 | AFLAC | $149 | — | $149 | 0.64% |
| DWIGHT GOSSETT3 | 13070 ABRAHAM RUN CARMEL, IN 46033 | AFLAC | $119 | — | $119 | 0.51% |
| TAMMY KILGORE3 | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $93 | — | $93 | 0.40% |
| JEFF LAMBERT3 | 7 CENTER ST HINSDALE, IL 60521 | AFLAC | $89 | — | $89 | 0.38% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $88 | — | $88 | 0.38% |
| JAMES A SMAARDYK3 Filed as: JAMES SMAARDYK | 2831 CEDAR HILLS LANE TWIN LAKE, MI 49457 | AFLAC | $74 | — | $74 | 0.32% |
| SHERRI L KALB3 | 31 PINE CT MONTROSE, IA 52639 | AFLAC | $68 | — | $68 | 0.29% |
| CHRISTINE L BREWSTER3 Filed as: CHRISTINE BREWSTER | 1312 FARLEY LN CHAMPAIGN, IL 61822 | AFLAC | $66 | — | $66 | 0.28% |
| GARY W WARE JR3 Filed as: GARY WARE JR | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $66 | — | $66 | 0.28% |
| LYNNETTE E COX3 | PO BOX 265 WAUNAKEE, WI 53597 | AFLAC | $58 | — | $58 | 0.25% |
| MARK SHIFMAN3 | 6517 DENNY AVE NORTH HOLLYWOOD, CA 91608 | AFLAC | $56 | — | $56 | 0.24% |
| LORI ANN NEWBERRY3 | 3071 175TH AVENUE ARGYLE, IA 52619 | AFLAC | $33 | — | $33 | 0.14% |
| TINA M LASSUY3 Filed as: TINA M. LASSUY | 3021 45TH ST MOLINE, IL 61265 | AFLAC | $23 | — | $23 | 0.10% |
| TIMOTHY ASBY3 | 11500 GOLDEN WILLOW CT STE 205 ZIONSVILLE, IN 46077 | AFLAC | $20 | — | $20 | 0.09% |
| KENT HORSMAN3 | 14162 LADUE RD CHESTERFIELD, MO 63017 | AFLAC | $17 | — | $17 | 0.07% |
| JOHN D LASSUY3 Filed as: JOHN LASSUY | 4544 3RD STREET MOLINE, IL 61265 | AFLAC | $11 | — | $11 | 0.05% |
| TODD DEVOSS3 | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $10 | — | $10 | 0.04% |
| DENNIS J CASSENS3 Filed as: DENNIS CASSENS | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $10 | — | $10 | 0.04% |
| JOSEPH P CALARCO3 Filed as: JOSEPH NASCA | 28081 W. MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $10 | — | $10 | 0.04% |
| BRIAN R KIMMEL3 Filed as: BRIAN KIMMEL | 309 BRAESWICK DR LAKE ST. LOUIS, MO 63367 | AFLAC | $8 | — | $8 | 0.03% |
| ELIZABETH M GASPAROVIC3 Filed as: ELIZABETH GASPAROVIC | 1531 W RUE JAMES PL PALATINE, IL 60067 | AFLAC | $7 | — | $7 | 0.03% |
| MARK D BARBIER3 | 802 DEER TRAIL LN OAK BROOK, IL 60523 | AFLAC | $7 | — | $7 | 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 | $6 | — | $6 | 0.03% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 5266 N KUFALK LN BYRON, IL 61010 | AFLAC | $5 | — | $5 | 0.02% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 14601 BROOKVIEW DR URBANDALE, IA 50323 | AFLAC | $5 | — | $5 | 0.02% |
| SHERYL A BULL3 Filed as: SHERYL BULL | 1665 53RD ST MOLINE, IL 61265 | 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% |
| GEORGE P OWENS3 Filed as: GEORGE OWENS | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $3 | — | $3 | 0.01% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $2 | — | $2 | 0.01% |
| DANIEL L BARTEL3 Filed as: DANIEL BARTEL | 1006 WEAVER RD STERLING, IL 61081 | AFLAC | $2 | — | $2 | 0.01% |
| CURTIS WHEAT3 | 507 HORSESHOE LN CASEY, IL 62420 | AFLAC | $2 | — | $2 | 0.01% |
| JAMES L HAYES3 Filed as: JAMES HAYES | 1449 MARILYN DR NORTH LIBERTY, IA 52317 | AFLAC | $2 | — | $2 | 0.01% |
| JAMES H RAIRIGH3 Filed as: JAMES SAVAGE | 574 TEAL LN TRAVERSE CITY, MI 49686 | AFLAC | $1 | — | $1 | 0.00% |
| ALAN FILLIGER3 | 3838 1ST AVE, APT 2 SAN DIEGO, CA 92103 | AFLAC | $1 | — | $1 | 0.00% |
| LESTER E WILSON3 | 211 E 3RD ST PROPHETSTOWN, IL 61277 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTIE MARZARI3 | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $1 | — | $1 | 0.00% |
| GREGORY SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTOPHER J BAYER3 Filed as: CHRISTOPHER BAYER | 1416 N BROAD ST GALESBURG, IL 61401 | AFLAC | $1 | — | $1 | 0.00% |
| TRAVIS COCKBURN3 | 402 N MAIN ST BENTON, IL 62812 | AFLAC | $1 | — | $1 | 0.00% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS, INC. | PO BOX 71 KANKAKEE, IL 60901 | EYEMED | $2K | — | $2K | 9.07% |
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 | 569 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 572 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ALLIANCE MEDICAL PLANS | 280 | $488K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 784 | $124K |
| Vision | EYEMED | 311 | $18K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 784 | $124K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 381 | $161K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 381 | $161K |
| Stop-loss / reinsurancereinsurance | HEALTH ALLIANCE MEDICAL PLANS | 280 | $488K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 170 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 784 | — |
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.