| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 921011828 | BLUECROSS BLUESHIELD OF ILLINOIS | $50K | $0 | $50K | 3.32% |
| BCI INSURANCE SOLUTIONS, INC.3 | 800 GESSNER RD SUITE 300 HOUSTON, TX 77024 | BLUECROSS BLUESHIELD OF ILLINOIS | $9K | $0 | $9K | 0.59% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 N CLARK STREET CHICAGO, IL 60654 | BLUECROSS BLUESHIELD OF ILLINOIS | $0 | $3K | $3K | 0.21% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 18100 VON KARMAN AVE SUITE 1000 IRVINE, CA 92612 | SYMETRA LIFE INSURANCE COMPANY | $20K | $4K | $24K | 17.98% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES INC. | 1 CAMERON HILL CIRCLE CHATTANOOGA, TN 37402 | SYMETRA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.25% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 921011828 | DELTA DENTAL OF ILLINOIS | $3K | $0 | $3K | 4.20% |
| BCI INSURANCE SOLUTIONS, INC.3 Filed as: BCI INSURANCE SOLUTIONS INC. | 800 GESSNER ROAD SUITE 300 HOUSTON, TX 77024 | DELTA DENTAL OF ILLINOIS | $803 | $0 | $803 | 1.24% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | PO BOX 745977 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $777 | $0 | $777 | 6.05% |
| BCI INSURANCE SOLUTIONS, INC.3 Filed as: BCI INSURANCE SOLUTIONS INC. | 800 GESSNER ROAD SUITE 300 HOUSTON, TX 77024 | VISION SERVICE PLAN | $75 | $0 | $75 | 0.58% |
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 | 206 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 166 | $1.5M |
| Dental | DELTA DENTAL OF ILLINOIS | 125 | $65K |
| Vision | VISION SERVICE PLAN | 109 | $13K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 166 | $135K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 166 | $135K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 166 | $135K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 166 | $1.5M |
| Other | SYMETRA LIFE INSURANCE COMPANY | 166 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.