| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ESSER HAYES INSURANCE GROUP3 Filed as: ESSER HAYES INSURANCE GROUP INC. | 1811 HIGH GROVE LN, STE 139 NAPERVILLE, IL 60540 | BLUECROSS BLUESHIELD OF ILLINOIS | $50K | $6K | $56K | 2.34% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | FOUR WESTBROOK CORP CENTRE STE 500 WESTCHESTER, IL 60154 | BLUECROSS BLUESHIELD OF ILLINOIS | $36K | — | $36K | 1.50% |
| ESSER HAYES INSURANCE GROUP3 Filed as: ESSER HAYES INS. GROUP INC. | 1811 HIGH GROVE LN, STE 139 NAPERVILLE, IL 60540 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | — | $13K | 4.69% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS | PO BOX 71 KANKAKEE, IL 60901 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.83% |
| MISHA PORTER3 | 565 WILSON DR CLIFTON, IL 60927 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.43% |
| CIBC OF ILLINOIS INC3 | PO BOX 71 KANKAKEE, IL 60901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.06% |
| AARON J DUNNILL3 Filed as: AARON DUNNILL | 1137 3 5000N RD BOURBONNAIS, IL 60914 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.05% |
| JASON E COX3 Filed as: JASON E. COX | 308 S COURT ST. MARION, IL 62959 | CONTINENTAL AMERICAN INSURANCE COMPANY | $586 | — | $586 | 1.18% |
| BARRY MONTALTA3 | 17 S 377TH AVE TONOPAH, AZ 85354 | CONTINENTAL AMERICAN INSURANCE COMPANY | $490 | — | $490 | 0.99% |
| TIMOTHY INGRAM3 | 2105 EASTLAND DR, STE 13 BLOOMINGTON, IL 61704 | CONTINENTAL AMERICAN INSURANCE COMPANY | $305 | — | $305 | 0.61% |
| JEREMY S KLOKKENGA3 | 48 PHEASANT TRL GLEN CARBON, IL 62034 | CONTINENTAL AMERICAN INSURANCE COMPANY | $268 | — | $268 | 0.54% |
| TRAVIS COCKBURN3 | 402 N MAIN STREET BENTON, IL 62812 | CONTINENTAL AMERICAN INSURANCE COMPANY | $265 | — | $265 | 0.53% |
| RICHARD W WESTERMAYER3 Filed as: RICHARD W. WESTERMAYER | 1501 LYNDON B JOHNSON FWY STE FARMERS BRANCH, TX 75234 | CONTINENTAL AMERICAN INSURANCE COMPANY | $63 | — | $63 | 0.13% |
| MARTIN J LEWIS3 Filed as: MARTIN J. LEWIS | 900 N. KINGBURY CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $57 | — | $57 | 0.11% |
| DANIEL E ELLIS3 Filed as: DANIEL E. ELLIS | 349 E CLAIFORNIA BLVD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | 0.09% |
| JASON HOFFARD3 Filed as: JASON T. HOFFARD | 16485 BANISTER RD SESSER, IL 62884 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.08% |
| MARTHA MONCKTON3 Filed as: MARTHA S. MONCKTON | 2411 E. GRANDVIEW AVE PEORIA, IL 61614 | CONTINENTAL AMERICAN INSURANCE COMPANY | $36 | — | $36 | 0.07% |
| JEFF LAMBERT3 | 7 CENTER ST HINSDALE, IL 60521 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.06% |
| JASON E COX3 Filed as: JASON COX | 495 TUNNEL VALLEY LN TUNNEL HILL, IL 62972 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.03% |
| TARA JORDAN3 | 800 LAKESHORE DR TUSCOLA, IL 61953 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| TIMOTH S INGRAM3 | 1355 LYNNFIELD ST STE 259 MEMPHIS, TN 33819 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| INSGROUP INC3 Filed as: ESSER HAYES INSURANCE GROUP KANKAKE | 1811 HIGH GROVE LANDE, STE 139 NAPERVILLE, IL 60540 | EYEMED | $3K | — | $3K | 9.88% |
| ERIN BRZOZOWSKI, INC.3 Filed as: ERIN BRZOZOWSKI INC | 2 LIBERTY DR LEMONT, IL 60439 | AFLAC | $450 | — | $450 | 2.64% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS, INC. | PO BOX 71 KANKAKEE, IL 60901 | AFLAC | $331 | — | $331 | 1.94% |
| AARON J DUNNILL3 | 1137 E 5000N RD BOURBONNAIS, IL 60914 | AFLAC | $259 | $67 | $326 | 1.91% |
| ROBERT W VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $313 | — | $313 | 1.83% |
| ROBERT STALTER3 Filed as: ROBERT E STALTER | 3714 AUBURNDALE AVE THE VILLAGES, FL 32162 | AFLAC | $175 | — | $175 | 1.03% |
| JEREMY M SKEETERS3 | 6634 W ROY ROGERS RD PHOENIX, AZ 85083 | AFLAC | $113 | — | $113 | 0.66% |
| DWIGHT GOSSETT3 Filed as: DWIGHT D GOSSETT | 13070 ABRAHAM RUN CARAMEL, IN 46033 | AFLAC | $85 | — | $85 | 0.50% |
| TAMMY KILGORE3 Filed as: TAMMY L KILGORE | 2209 BELLA FIORE LN PONTIAC, IL 61764 | AFLAC | $61 | — | $61 | 0.36% |
| JAMES A SMAARDYK3 | 2831 CEDAR HILLS LN TWIN LAKE, MI 49457 | AFLAC | $53 | — | $53 | 0.31% |
| CHRISTINE L BREWSTER3 | 1312 FARLEY LN CHAMPAIGN, IL 61622 | AFLAC | $51 | — | $51 | 0.30% |
| JEFFREY LYNN LAMBERT3 | 7 CENTER ST HINSDALE, IL 60521 | AFLAC | $50 | — | $50 | 0.29% |
| SHERRI L KALB3 | 31 PINE CT MONTROSE, IA 52639 | AFLAC | $46 | — | $46 | 0.27% |
| GARY W WARE JR3 | 2306 VALLEYBROOK DR CHAMPAIGN, IL 61822 | AFLAC | $43 | — | $43 | 0.25% |
| STEPHEN KELLS3 | 514 MAYFAIR CT GERMANTOWN HILLS, IL 61548 | AFLAC | $41 | — | $41 | 0.24% |
| LYNNETTE E COX3 | PO BOX 265 WAUNAKEE, WI 53597 | AFLAC | $40 | — | $40 | 0.23% |
| MARK I SHIFMAN3 | 6517 DENNY AVE NORTH HOLLYWOOD, CA 91606 | AFLAC | $36 | — | $36 | 0.21% |
| RICHARD WESTERMAYER3 | 433 LAS COLINAS BLVD E IRVING, TX 75039 | AFLAC | $27 | $6 | $33 | 0.19% |
| WESTERMAYER AND ASSOCIATES LLC3 | 2164 AYLESPORT DRIVE DALLAS, TX 75001 | AFLAC | $27 | $6 | $33 | 0.19% |
| SHERYL A BULL3 | 1665 53RD ST MOLINE, IL 61265 | AFLAC | $32 | — | $32 | 0.19% |
| LORI ANN NEWBERRY3 | 3071 175TH AVE ARGYLE, IA 52619 | AFLAC | $22 | — | $22 | 0.13% |
| DANIEL L BARTEL3 | 1006 WEAVER RD STERLING, IL 61081 | AFLAC | $17 | — | $17 | 0.10% |
| TINA M LASSUY3 | 3021 45TH ST MOLINE, IL 61265 | AFLAC | $15 | — | $15 | 0.09% |
| KENT HORSMAN3 | 14162 LADUE RD CHESTERFIELD, MO 63017 | AFLAC | $12 | — | $12 | 0.07% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $9 | — | $9 | 0.05% |
| CHRISTOPHER J BAYER3 | 1416 N BROAD ST GALESBURG, IL 61401 | AFLAC | $9 | — | $9 | 0.05% |
| JOHN D LASSUY3 | 4544 3RD ST MOLINE, IL 61265 | AFLAC | $8 | — | $8 | 0.05% |
| DENNIS J CASSENS3 | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $7 | — | $7 | 0.04% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $7 | — | $7 | 0.04% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST, STE 625 CHICAGO, IL 60654 | AFLAC | $7 | — | $7 | 0.04% |
| BRIAN R KIMMEL3 | 309 BRAESWICK DR LAKE ST LOUIS, MO 63367 | AFLAC | $5 | — | $5 | 0.03% |
| ELIZABETH M GASPAROVIC3 | 18 N SMITH ST PALATINE, IL 60067 | AFLAC | $5 | — | $5 | 0.03% |
| MITCHELL J MCCALL3 | 3 STONERIDGE DR KEOKUK, IA 52632 | AFLAC | $5 | — | $5 | 0.03% |
| MARK D BARBIER3 | 23 CROYDON LN OAK BROOK, IL 60523 | AFLAC | $4 | — | $4 | 0.02% |
| RUSSELL THOMAS3 Filed as: RUSSELL F THOMAS | 611 E BROADWAY ST TOLONO, IL 61880 | AFLAC | $4 | — | $4 | 0.02% |
| TERRY J SILVERS3 | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $4 | — | $4 | 0.02% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | 402 N MAIN ST BENTON, IL 62812 | AFLAC | $3 | — | $3 | 0.02% |
| CHAD L NELSON3 | 5266 N KUFALK LN BYRON, IL 61010 | AFLAC | $3 | — | $3 | 0.02% |
| KACY A GRUENKEMEYER3 | 543 ALSTON DR CHATTANOOGA, TN 37419 | AFLAC | $3 | — | $3 | 0.02% |
| GEORGE P OWENS3 | 653 N ANTLER DR MT ZION, IL 62549 | AFLAC | $3 | — | $3 | 0.02% |
| MALINDA BARTECK3 | 26110 GARDEN RD FARMER CITY, IL 61842 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $2 | — | $2 | 0.01% |
| GREGORY J SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $2 | — | $2 | 0.01% |
| CURTIS WHEAT3 Filed as: CURTIS H WHEAT | 507 HORSEHOE LN CASEY, IL 62420 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES L HAYES3 | 1547 CEDAR SPRINGS CT NORTH LIBERTY, IA 52317 | AFLAC | $1 | — | $1 | 0.01% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | PO BOX 335 JOHNSON CITY, IL 62951 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTIE MARZARI3 | 1932 WYNNTON RD COLUMBUS, GA 31999 | AFLAC | $1 | — | $1 | 0.01% |
| JASON HOFFARD3 | 3415 OFFICE PARK DR, STE C MARION, IL 62959 | AFLAC | $1 | — | $1 | 0.01% |
| MARTHA MONCKTON3 | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLAC | $1 | — | $1 | 0.01% |
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 | 799 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 803 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 597 | $2.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 816 | $273K |
| Vision | EYEMED | 507 | $33K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 816 | $273K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 816 | $273K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 816 | $273K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 816 | $340K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 816 | — |
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.