| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENVISION INSURANCE GROUP LLC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | BLUE CROSS BLUE SHIELD | $71K | — | $71K | 2.97% |
| VARIOUS INDIVIDUALS3 | VARIOUS VARIOUS PEORIA, IL 61614 | AFLAC | $1K | — | $1K | 5.96% |
| ENVISION INSURANCE GROUP LLC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $849 | — | $849 | 4.11% |
| LEGACY INSURANCE AGENCY OF IL INC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $127 | — | $127 | 0.61% |
| ENVISION INSURANCE GROUP LLC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | PEKIN LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| VARIOUS INDIVIDUALS3 | VARIOUS VARIOUS PEORIA, IL 61614 | AFLAC | $443 | — | $443 | 6.71% |
| ENVISION INSURANCE GROUP LLC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $254 | — | $254 | 3.85% |
| LEGACY INSURANCE AGENCY OF IL INC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $62 | — | $62 | 0.94% |
| VARIOUS INDIVIDUALS3 | VARIOUS VARIOUS PEORIA, IL 61614 | AFLAC | $260 | — | $260 | 5.97% |
| ENVISION INSURANCE GROUP LLC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $123 | — | $123 | 2.83% |
| LEGACY INSURANCE AGENCY OF IL INC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $36 | — | $36 | 0.83% |
| VARIOUS INDIVIDUALS3 | VARIOUS VARIOUS PEORIA, IL 61614 | AFLAC | $112 | — | $112 | 5.93% |
| ENVISION INSURANCE GROUP LLC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $47 | — | $47 | 2.49% |
| LEGACY INSURANCE AGENCY OF IL INC3 | 7150 N UNIVERSITY ST SUITE A PEORIA, IL 61614 | AFLAC | $32 | — | $32 | 1.69% |
| LARRY HARDESTY3 | P.O. BOX 1587 PEKIN, IL 61555 | GROUP PLAN SOLUTIONS BENEFIT ADMINISTRATION | — | $14K | $14K | — |
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 | 300 | 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) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 479 | $2.4M |
| Dental | GROUP PLAN SOLUTIONS BENEFIT ADMINISTRATION | 0 | $0 |
| Life insurance | PEKIN LIFE INSURANCE COMPANY | 318 | $16K |
| Prescription drug | BLUE CROSS BLUE SHIELD | 479 | $2.4M |
| Other(4 contracts) | AFLAC | 26 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 479 | — |
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.