| 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 | $87K | $9K | $96K | 2.97% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS LLC | 4 WESTBROOK CORPORATE CTR, STE 500 WESTCHESTER, IL 60154 | HUMANA INSURANCE COMPANY | $7K | — | $7K | 3.41% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS LLC | 4 WESTBROOK CORPORATE CTR STE 500 WESTCHESTER, IL 60154 | DEARBORN LIFE INSURANCE COMPANY | $17K | — | $17K | 9.22% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DAVID KEENAN AND ASSOCIATES, INC. | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $11K | — | $11K | 12.25% |
| 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 | $6K | — | $6K | 7.48% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DAVID KEENAN | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 3.19% |
| MICHAEL PETERS & ASSOCIATES, INC.3 | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 2.04% |
| ESSER HAYES INSURANCE GROUP3 Filed as: ESSER HAYES INS. GROUP INC. | 1811 HIGH GROVE LN, STE 139 NAPERVILLE, IL 60540 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 9.20% |
| ROBERT W VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $181 | — | $181 | 4.97% |
| AARON J DUNNILL3 | 1137 E 5000N RD BOURBONNAIS, IL 60914 | AFLAC | $128 | — | $128 | 3.51% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS ILLINOIS, LLC | 4 WESTBROOK CORPORATE CTR, STE 500 WESTCHESTER, IL 60154 | AFLAC | $63 | — | $63 | 1.73% |
| MARK I SHIFMAN3 | 6517 DENNY AVE NORTH HOLLYWOOD, CA 91606 | AFLAC | $21 | — | $21 | 0.58% |
| GARY W WARE JR3 Filed as: GARY W WARE, JR. | 3103 MEADOWBROOK DR. CHAMPAIGN, IL 61822 | AFLAC | $15 | — | $15 | 0.41% |
| RICHARD WESTERMAYER3 | 5431 MONTICELLO AVE DALLAS, TX 75206 | AFLAC | $15 | — | $15 | 0.41% |
| WESTERMAYER AND ASSOCIATES LLC3 | 5431 MONTICELLO AVE DALLAS, TX 75206 | AFLAC | $15 | — | $15 | 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 | 588 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 588 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 588 | $3.3M |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 245 | $223K |
| Vision | HUMANA INSURANCE COMPANY | 245 | $194K |
| Life insurance(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 439 | $294K |
| Short-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 439 | $208K |
| Long-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 439 | $208K |
| Other(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 439 | $211K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 588 | — |
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.