| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 3 CITYPLACE DRIVE SAINT LOUIS, MO 63141 | HEALTH ALLIANCE MEDICAL PLANS | $31K | — | $31K | 0.89% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LL | 3 CITYPLACE DRIVE SAINT LOUIS, MO 63141 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $28K | — | $28K | 9.80% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC-STL SERI | 3 CITYPLACE DRIVE SAINT LOUIS, MO 63414 | DELTA DENTAL OF ILLINOIS | $20K | — | $20K | 7.50% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC-STL SERI | 3 CITYPLACE DRIVE SAINT LOUIS, MO 63141 | PROTEC INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH STREET SUITE 900 KANSAS CITY, MO 64112 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56K | — | $56K | 331.64% |
| CHRISTOPHER R CORDON3 | 1219 S 61ST CT CICERO, IL 60804 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 28.80% |
| SHARYL K BATHE3 | 620 ODD FELLOW RD MATTOON, IL 61938 | CONTINENTAL AMERICAN INSURANCE COMPANY | $890 | — | $890 | 5.24% |
| ROBERT L SHORT3 | 1616 HIGHWOOD AVENUE PEKIN, IL 615546125 | TRANSAMERICA LIFE INSURANCE COMPANY | $260 | — | $260 | 6.10% |
| JAMES UNLAND & COMPANY, INC3 Filed as: JAMES UNLAND & CO INC | 2211 BROADWAY PEKIN, IL 61554 | TRANSAMERICA LIFE INSURANCE COMPANY | $237 | — | $237 | 5.56% |
| MUTUAL MED INSURANCE SERVICES3 Filed as: MUTUAL MED INSURANCE SERVICES LLC | 4321 E 60TH ST DAVENPORT, IA 52807 | TRANSAMERICA LIFE INSURANCE COMPANY | $19 | — | $19 | 0.45% |
| RANDY K BIEHLER3 | PO BOX 410 SHELBYVILLE, IL 62565 | STANDARD INSURANCE COMPANY | $214 | — | $214 | 17.53% |
| PERFORMANCE MATTERS ASSOCIATES3 Filed as: PERFORMANCE MATTERS ASSOCIATES OF T | 8150 N CENTRAL EXPRESSWAY STE 13300 DALLAS, TX 75206 | WASHINGTON NATIONAL INSURANCE COMPANY | $167 | — | $167 | 15.39% |
| DAVID W. KING3 | C/O DAVID KING PO BOX 1438 NEW PORT RICHEY, FL 346561438 | WASHINGTON NATIONAL INSURANCE COMPANY | $162 | — | $162 | 14.93% |
| MICHAEL J. DICKSON3 | 133 FRANKLIN AVE RIVER FOREST, IL 603052113 | WASHINGTON NATIONAL INSURANCE COMPANY | $62 | — | $62 | 5.71% |
| AMERICAN LIFE & CASUALTY3 Filed as: AMERICAN LIFE AND CASUALTY MARKETIN | 11825 PENNSYLVANIA AVE CARMEL, IN 460324555 | WASHINGTON NATIONAL INSURANCE COMPANY | $52 | — | $52 | 4.79% |
| WALSH & ASSOCIATES, LTD3 | 1122 N CLARK ST STE 3903 CHICAGO, IL 60610 | WASHINGTON NATIONAL INSURANCE COMPANY | $39 | — | $39 | 3.59% |
| RYAN A. SCHONE3 | 308 PODRES LANE CHATHAM, IL 62629 | WASHINGTON NATIONAL INSURANCE COMPANY | $36 | — | $36 | 3.32% |
| ROBERT E. TAYLOR3 | 477 COUNTY ROAD 2500 EAST TOLUCA, IL 61369 | WASHINGTON NATIONAL INSURANCE COMPANY | $33 | — | $33 | 3.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RICHARD S. LEE | 531 ISLEWORTH CLOSE TARPON SPGS, FL 346888418 | WASHINGTON NATIONAL INSURANCE COMPANY | $22 | — | $22 | 2.03% |
| THE FRIEDMAN 1, INC.3 Filed as: THE FRIEDMAN 1,INC | 2013 WILDERNESS TRAIL SPRINGFIELD, IL 62711 | WASHINGTON NATIONAL INSURANCE COMPANY | $19 | — | $19 | 1.75% |
| TERRY L. EDLEN3 Filed as: TERRY EDLEN | 2513 TARTAN WAY SPRINGFIELD, IL 62711 | WASHINGTON NATIONAL INSURANCE COMPANY | $19 | — | $19 | 1.75% |
| JESSE ELMORE3 | 1312 RANDLE ST EDWARDSVILLE, IL 62025 | WASHINGTON NATIONAL INSURANCE COMPANY | $19 | — | $19 | 1.75% |
| RICK J MOORE3 Filed as: RICK J. MOORE | 3309 ROBBINS ROAD 404 SPRINGFIELD, IL 62704 | WASHINGTON NATIONAL INSURANCE COMPANY | $19 | — | $19 | 1.75% |
| CAPITOL AMERICAN LIFE INS. CO3 | 11815 N PENNSYLVANIA ST CARMEL, IN 460324555 | WASHINGTON NATIONAL INSURANCE COMPANY | $16 | — | $16 | 1.47% |
| ENROLLEASE3 Filed as: DYKE L CLARKE | 740 S BENTON CT ELMHURST, IL 601264504 | WASHINGTON NATIONAL INSURANCE COMPANY | $11 | — | $11 | 1.01% |
| TIMOTHY W DECKER3 Filed as: TIMOTHY W. DECKER | 13938 N 900 EAST RD BLOOMINGTON, IL 617045132 | WASHINGTON NATIONAL INSURANCE COMPANY | $5 | — | $5 | 0.46% |
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 | 745 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 24 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 769 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ALLIANCE MEDICAL PLANS | 959 | $3.5M |
| Dental | DELTA DENTAL OF ILLINOIS | 529 | $263K |
| Vision | PROTEC INSURANCE COMPANY | 398 | $36K |
| Life insurance | AMERICAN GENERAL LIFE INSURANCE COMPANY | 747 | $288K |
| Short-term disability | AMERICAN GENERAL LIFE INSURANCE COMPANY | 747 | $288K |
| Long-term disability | AMERICAN GENERAL LIFE INSURANCE COMPANY | 747 | $288K |
| Other(5 contracts, 5 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 747 | $312K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 959 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.