| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF ILLINOIS, LLC | FOUR WESTBROOK CORP CENTRE STE 500 WESTCHESTER, IL 60154 | BLUECROSS BLUESHIELD OF ILLINOIS | $85K | $4K | $89K | 3.46% |
| ESSER HAYES INSURANCE GROUP3 Filed as: ESSER HAYES INS. GROUP INC. | 1811 HIGH GROVE LN, STE 139 NAPERVILLE, IL 60540 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | — | $15K | 4.45% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS LLC | 4 WESTBROOK CORPORATE CTR, STE WESTCHESTER, IL 60154 | HUMANA INSURANCE COMPANY | $7K | — | $7K | 3.41% |
| MICHAEL PETERS & ASSOCIATES, INC.3 | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $26K | — | $26K | 36.15% |
| GARY WOOD ASSOCIATES, INC.3 Filed as: GARY WARE AND ASSOCIATES, INC. | 3808 W SPRINGFIELD AVE, STE D CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $13K | — | $13K | 18.35% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DAVID KEENAN | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 2.64% |
| MICHAEL L. SEBENS3 Filed as: MICHAEL PETERS | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 1.46% |
| ROBERT W VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $196 | — | $196 | 4.97% |
| AARON J DUNNILL3 | 1137 E 5000N RD BOURBONNAIS, IL 60914 | AFLAC | $138 | — | $138 | 3.50% |
| CIBC OF ILLINOIS INC3 Filed as: CIBC OF ILLINOIS INC. | PO BOX 71 KANKAKEE, IL 60901 | AFLAC | $52 | — | $52 | 1.32% |
| MARK I SHIFMAN3 | 6517 DENNY AVE NORTH HOLLYWOOD, CA 91606 | AFLAC | $23 | — | $23 | 0.58% |
| GARY W WARE JR3 Filed as: GARY W WARE, JR. | 3103 MEADOWBROOK DR. CHAMPAIGN, IL 61822 | AFLAC | $17 | — | $17 | 0.43% |
| RICHARD WESTERMAYER3 | 5431 MONTICELLO AVE DALLAS, TX 75206 | AFLAC | $17 | — | $17 | 0.43% |
| WESTERMAYER AND ASSOCIATES LLC3 | 5431 MONTICELLO AVE DALLAS, TX 75206 | AFLAC | $17 | — | $17 | 0.43% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS ILLINOIS, LLC | 4 WESTBROOK CORPORATE CTR, STE 500 WESTCHESTER, IL 60154 | AFLAC | $16 | — | $16 | 0.41% |
| BRIAN R KIMMEL3 | 309 BRAESWICK DR LAKE ST. LOUIS, MO 63367 | AFLAC | $3 | — | $3 | 0.08% |
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 | 588 | $2.6M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 799 | $522K |
| Vision | HUMANA INSURANCE COMPANY | 245 | $194K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 799 | $399K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 799 | $328K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 799 | $328K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 799 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 799 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.