| 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 | $88K | $6K | $93K | 2.59% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS LLC | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | HUMANA INSURANCE COMPANY | $7K | — | $7K | 3.37% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF ILLINOIS LLC | 4 WESTBROOK CORPORATE CTR STE 500 WESTCHESTER, IL 60154 | DEARBORN LIFE INSURANCE COMPANY | $17K | $10K | $26K | 13.17% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DAVID KEENAN AND ASSOCIATES, INC. | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $10K | — | $10K | 15.52% |
| WARE GROUP GENERAL AGENCIES3 | 3808 W SPRINGFIELD AVE, STE D CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $5K | — | $5K | 7.54% |
| MICHAEL PETERS & ASSOCIATES, INC.3 | 3808 W SPRINGFIELD AVE CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 2.04% |
| ROBERT W VESTAL3 | PO BOX 1240 DELAND, FL 32721 | AFLAC | $181 | — | $181 | 7.86% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS ILLINOIS, LLC | 4 WESTBROOK CORPORATE CTR, STE 500 WESTCHESTER, IL 60154 | AFLAC | $44 | — | $44 | 1.91% |
| AARON J DUNNILL3 | 1137 E 5000N RD BOURBONNAIS, IL 60914 | AFLAC | $21 | — | $21 | 0.91% |
| MARK I SHIFMAN3 | 6517 DENNY AVE NORTH HOLLYWOOD, CA 91606 | AFLAC | $21 | — | $21 | 0.91% |
| GARY W WARE JR3 Filed as: GARY W WARE, JR. | 3103 MEADOWBROOK DR. CHAMPAIGN, IL 61822 | AFLAC | $15 | — | $15 | 0.65% |
| RICHARD WESTERMAYER3 | 5431 MONTICELLO AVE DALLAS, TX 75206 | AFLAC | $3 | — | $3 | 0.13% |
| WESTERMAYER AND ASSOCIATES LLC3 | 5431 MONTICELLO AVE DALLAS, TX 75206 | AFLAC | $3 | — | $3 | 0.13% |
| BRIAN R KIMMEL3 | 309 BRAESWICK DR LAKE ST. LOUIS, MO 63367 | AFLAC | $3 | — | $3 | 0.13% |
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 | 598 | 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) | 598 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 598 | $3.6M |
| Dental | HUMANA INSURANCE COMPANY | 258 | $201K |
| Vision | HUMANA INSURANCE COMPANY | 258 | $201K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 441 | $264K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 441 | $200K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 441 | $200K |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 441 | $203K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 598 | — |
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.