| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MUTUAL MEDICAL3 | 416 MAIN ST STE 1025 PEORIA, IL 616021126 | SYMETRA LIFE INSURANCE COMPANY | $46K | $34K | $80K | 29.40% |
| ENVISION INSURANCE GROUP LLC3 | 1616 W PIONEER PKWY PEORIA, IL 616151945 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 10.89% |
| BETTER BENEFITS GROUP LLC3 | 2506 COURT ST PEKIN, IL 61554 | AFLAC | $2K | $61 | $2K | 5.13% |
| L EDWARD LANTMAN3 Filed as: L. EDWARD LANTMAN | 2001 W WILLOW KNOLLS DR STE 206 PEORIA, IL 61614 | AFLAC | $1K | $7 | $1K | 2.90% |
| JOLI LYNN PEARSON3 | 13235 WALNUT STREET MANITO, IL 61546 | AFLAC | $868 | $35 | $903 | 1.89% |
| L EDWARD LANTMAN3 Filed as: L. EDWARD LANTMAN | 2001 W. WILLOW KNOLLS DR STE 206 PEORIA, IL 61614 | AFLAC | $641 | — | $641 | 1.34% |
| SARAH BUSS3 | 7800 N PIONEER CT PEORIA, IL 61615 | AFLAC | $457 | $21 | $478 | 1.00% |
| MICHAEL J SKOFF3 | 815 N CHURCH ST ROCKFORD, IL 61103 | AFLAC | $443 | $6 | $449 | 0.94% |
| TOSHA MCQUEARY3 Filed as: TOSHA M MCQUEARY | 7322 N RADNOR RD APT 201 PEORIA, IL 61615 | AFLAC | $187 | — | $187 | 0.39% |
| ENVISION INSURANCE GROUP LLC3 | 1616 W PIONEER PKWY PEORIA, IL 61615 | AFLAC | $107 | — | $107 | 0.22% |
| TYE ELLIOTT3 | 2315 W PINNACLE DR DUNLAP, IL 61525 | AFLAC | $103 | — | $103 | 0.22% |
| PEARSON BENEFITS LLC3 | 13235 WALNUT ST MANITO, IL 61546 | AFLAC | $81 | — | $81 | 0.17% |
| MARK L RHODES3 | 205 STANLEY ST MORTON, IL 61550 | AFLAC | $76 | — | $76 | 0.16% |
| CHRIS E HATHAWAY3 | 1201 SPRINGFIELD RD EAST PEORIA, IL 61611 | AFLAC | $67 | — | $67 | 0.14% |
| ANGELA FERRIGAN3 | 602 WOOD ST DEKALB, IL 60115 | AFLAC | $53 | — | $53 | 0.11% |
| DENNIS J CASSENS3 | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $48 | — | $48 | 0.10% |
| NATHAN A WHITEMAN3 | 550 PEKIN ST LINCOLN, IL 62656 | AFLAC | $44 | — | $44 | 0.09% |
| ELIZABETH M GASPAROVIC3 | 18 N SMITH ST PALATINE, IL 60067 | AFLAC | $42 | — | $42 | 0.09% |
| ERICA KATHLEEN SKELTON3 | 502 S DARST ST EUREKA, IL 61530 | AFLAC | $34 | — | $34 | 0.07% |
| SCOTT A SMITH3 | 6340 SUGARLOAF PKWY STE 200 DULUTH, GA 30097 | AFLAC | $33 | — | $33 | 0.07% |
| RYAN M BEYER3 | 104 MEDINA CT EAST PEORIA, IL 61611 | AFLAC | $32 | — | $32 | 0.07% |
| CHRISTOPHER J BAYER3 | 11 FAIRWAY RD GALESBURG, IL 61401 | AFLAC | $32 | — | $32 | 0.07% |
| MICHAEL A ORTIZ3 | 740 CHEYENNE LN ELGIN, IL 60123 | AFLAC | $25 | — | $25 | 0.05% |
| WILLIAM T GANT3 | 117 HILLSONG LN BRIGHTON, TN 38011 | AFLAC | $22 | — | $22 | 0.05% |
| TERRY J SILVERS3 | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $20 | — | $20 | 0.04% |
| CHRISTOPHER A SKEETERS3 | 716 N 12TH ST PETERSBURG, IL 62675 | AFLAC | $18 | — | $18 | 0.04% |
| R W GARRETT AGENCY3 Filed as: RW GARRETT AGENCY INC | 2201 WOODLAWN RD STE 600 LINCOLN, IL 62656 | AFLAC | $15 | — | $15 | 0.03% |
| AMANDA HELMAN3 | 16782 W COUNTY ROAD DD BIRCHWOOD, WI 54817 | AFLAC | $15 | — | $15 | 0.03% |
| GARY J IRVIN3 | 675 S RIDGEVIEW LN PEORIA, IL 61604 | AFLAC | $14 | — | $14 | 0.03% |
| CHRISTIE MARZARI3 | 3343 LANELL LN PEARL, MS 39208 | AFLAC | $8 | — | $8 | 0.02% |
| GREGORY J SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $8 | — | $8 | 0.02% |
| MISTY A TUNYUCK3 | 2201 BELMONT DR. PEKIN, IL 61554 | AFLAC | $7 | — | $7 | 0.01% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 798 EAGLE DR. AURORA, IL 60506 | AFLAC | $6 | — | $6 | 0.01% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLAC | $4 | — | $4 | 0.01% |
| DEVOSS INSURANCE AGENCY LLC3 | 798 EAGLE DR. AURORA, IL 60506 | AFLAC | $3 | — | $3 | 0.01% |
| KYLE J HORN3 | 2222 W GERALD CT PEORIA, IL 61615 | AFLAC | $2 | — | $2 | 0.00% |
| GEORGE P OWENS3 | 653 N ANTLERS DR MT ZION, IL 62549 | AFLAC | $1 | — | $1 | 0.00% |
| ENVISION INSURANCE GROUP LLC3 | PO BOX 1559 GALESBURG, IL 61402 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
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 | 97 | 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) | 97 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 115 | $61K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 115 | $61K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 115 | $61K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 97 | $34K |
| Short-term disability | AFLAC | 49 | $48K |
| Long-term disability | AFLAC | 49 | $48K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 76 | $271K |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 97 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 115 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.