| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $23K | $1K | $24K | 1.28% |
| BANK OF SPRINGFIELD3 Filed as: BANK OF SPRINGFIELD INS AGENCY | 2600 STEVENSON DR. SPRINGFIELD, IL 62703 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $5K | — | $5K | 0.25% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | DELTA DENTAL OF ILLINOIS | $12K | — | $12K | 5.11% |
| BANK OF SPRINGFIELD3 Filed as: BANK OF SPRINGFIELD INS. AGENCY | 2600 STEVENSON DR. SPRINGFIELD, IL 62703 | DELTA DENTAL OF ILLINOIS | $6K | — | $6K | 2.33% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | METROPOLITAN LIFE INSURANCE COMPANY | — | $17K | $17K | 8.23% |
| BANK OF SPRINGFIELD3 Filed as: BANK OF SPRINGFIELD INS. AGENCY | 2600 STEVENSON DR. SPRINGFIELD, IL 62703 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 0.65% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 4.86% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | EYEMED | — | $1K | $1K | 5.40% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $838 | — | $838 | 11.48% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $389 | — | $389 | 7.36% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6TH STREET SPRINGFIELD, IL 62703 | EYEMED | $18 | $18 | $36 | 10.06% |
| J. ANDREW DAVIS FINANCIAL SERVICES3 | 1005 S. 6FH STREET SPRINGFIELD, IL 62703 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $33 | $33 | 16.26% |
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 | 300 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 362 | $1.9M |
| Dental | DELTA DENTAL OF ILLINOIS | 222 | $236K |
| Vision(2 contracts) | EYEMED | 356 | $22K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 570 | $204K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 570 | $204K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 570 | $204K |
| Other(5 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 570 | $246K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 570 | — |
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."
No prospect flags tripped on this filing.