| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRAVIS HURT3 Filed as: TRAVIS D SCHMID | — | HEALTH ALLIANCE MEDICAL PLANS | $18K | — | $18K | 2.59% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $21K | — | $21K | 3.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | — | BLUECROSS BLUESHIELD OF ILLINOIS | $4K | — | $4K | 0.63% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INC | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $9K | 19.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $484 | — | $484 | 1.03% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INC | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 19.57% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $508 | — | $508 | 1.18% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INC | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 19.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $308 | — | $308 | 1.18% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INC | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 19.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 111 EAST DECATUR STREET DECATUR, IL 62521 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $259 | — | $259 | 1.17% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONL MIDWEST LTD | — | PROTEC INSURANCE COMPANY | $848 | — | $848 | 10.01% |
| BAUGHMAN GROUP3 Filed as: BAUGHMAN GROUP INC-GA | — | PROTEC INSURANCE COMPANY | — | $339 | $339 | 4.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | — | DELTA DENTAL OF ILLINOIS | $2K | — | $2K | 21.54% |
| BAUGHMAN GROUP3 Filed as: BAUGHMAN GROUP INC-GA | — | DELTA DENTAL OF ILLINOIS | — | $136 | $136 | 1.73% |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH ALLIANCE MEDICAL PLANS | 142 | $1.3M |
| Dental | DELTA DENTAL OF ILLINOIS | 89 | $8K |
| Vision | PROTEC INSURANCE COMPANY | 83 | $8K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 142 | $69K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $43K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 142 | $26K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 142 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.