| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENVISION INSURANCE GROUP LLC3 | PO BOX 1559 GALESBURG, IL 614021559 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | $90K | $96K | 9.90% |
| MUTUAL MEDICAL3 | C/O RON JONES 416 MAIN ST STE 1025 PEORIA, IL 616021126 | SYMETRA LIFE INSURANCE COMPANY | $18K | $8K | $26K | 24.61% |
| JOLLYNN PEARSON3 | 13235 WALNUT STREET MANITO, IL 61546 | AFLAC | $3K | $160 | $3K | 7.34% |
| L EDWARD LANTMAN3 Filed as: L. EDWARD LANTMAN | 2001 W. WILLOW KNOLLS DR STE 206 PEORIA, IL 61614 | AFLAC | $2K | $53 | $2K | 5.00% |
| LORI A WALLACE3 | 2001 W WILLOW KNOLLS DR STE 206 PEORIA, IL 61614 | AFLAC | $1K | $54 | $2K | 3.32% |
| TOSHA MCQUEARY3 Filed as: TOSHA M MCQUEARY | 7322 N RADNOR RD APT 201 PEORIA, IL 61615 | AFLAC | $668 | $30 | $698 | 1.54% |
| L EDWARD LANTMAN3 Filed as: L. EDWARD LANTMAN | 2001 W WILLOW KNOLLS DR STE 206 PEORIA, IL 61614 | AFLAC | $679 | — | $679 | 1.50% |
| MICHAEL J SKOFF3 | 815 N CHURCH ST ROCKFORD, IL 61103 | AFLAC | $343 | $33 | $376 | 0.83% |
| SARAH BUSS3 | 2001 W WILLOW KNOLLS DR STE 205 PEORIA, IL 61614 | AFLAC | $222 | — | $222 | 0.49% |
| SPENCER BYRD3 | 2315 N HAMILTON RD PEORIA, IL 61614 | AFLAC | $148 | — | $148 | 0.33% |
| TYE ELLIOTT3 | 2315 W PINNACLE DR DUNLAP, IL 61525 | AFLAC | $117 | — | $117 | 0.26% |
| CHRIS E HATHAWAY3 | 1201 SPRINGFIELD RD EAST PEORIA, IL 61611 | AFLAC | $110 | — | $110 | 0.24% |
| RYAN M BEYER3 | 104 MEDINA CT EAST PEORIA, IL 61611 | AFLAC | $93 | — | $93 | 0.21% |
| MARK L RHODES3 | 1513 W COLUMBIA TER APT 2 PEORIA, IL 61606 | AFLAC | $79 | — | $79 | 0.17% |
| NATHAN A WHITEMAN3 | 550 PEKIN ST LINCOLN, IL 62656 | AFLAC | $48 | — | $48 | 0.11% |
| ELIZABETH M GASPAROVIC3 | 18 N SMITH ST PALATINE, IL 60056 | AFLAC | $47 | — | $47 | 0.10% |
| R W GARRETT AGENCY3 Filed as: RW GARRETT AGENCY INC | 2201 WOODLAWN RD STE 00 LINCOLN, IL 62656 | AFLAC | $45 | — | $45 | 0.10% |
| CHRISTOPHER J BAYER3 | 11 FAIRWAY RD GALESBURG, IL 61401 | AFLAC | $36 | — | $36 | 0.08% |
| SCOTT A SMITH3 | 5300 OAKBROOK PKWY STE 300 STE 350 NORCROSS, GA 30093 | AFLAC | $33 | — | $33 | 0.07% |
| GARY J IRVIN3 | 675 S RIDGEVIEW LN PEORIA, IL 61604 | AFLAC | $32 | — | $32 | 0.07% |
| CHRISTOPHER A SKEETERS3 | 716 N 12TH ST PETERSBURG, IL 62675 | AFLAC | $23 | — | $23 | 0.05% |
| MICHAEL A ORTIZ3 | 740 CHEYENNE LN ELGIN, IL 60123 | AFLAC | $23 | — | $23 | 0.05% |
| TERRY J SILVERS3 | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $21 | — | $21 | 0.05% |
| WILLIAM T GANT3 | 11 HILLSONG LN BRIGHTON, TN 38011 | AFLAC | $19 | — | $19 | 0.04% |
| AMANDA HELMAN3 | 16782 W COUNTY ROAD DD BIRCHWOOD, WI 54817 | AFLAC | $15 | — | $15 | 0.03% |
| GREGORY J SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $9 | — | $9 | 0.02% |
| MISTY A TUNYUCK3 | 2001 W WILLOW KNOLLS DR STE 108 PEORIA, IL 61614 | AFLAC | $9 | — | $9 | 0.02% |
| CHRISTIE MARZARI3 | 3348 LANELL LN PEARL, MS 39208 | AFLAC | $9 | — | $9 | 0.02% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $9 | — | $9 | 0.02% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLAC | $4 | — | $4 | 0.01% |
| KYLE J HORN3 | 2119 W GERALD DR PEORIA, IL 61615 | AFLAC | $2 | — | $2 | 0.00% |
| GEORGE P OWENS3 Filed as: GEORGE OWENS | 653 N ANTLERS DR MT ZION, IL 62549 | AFLAC | $1 | — | $1 | 0.00% |
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 | 107 | 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) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 187 | $971K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 187 | $971K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 187 | $971K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 187 | $971K |
| Short-term disability | AFLAC | 54 | $45K |
| Long-term disability | AFLAC | 54 | $45K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 87 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.