| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RW TROXELL AND COMPANY3 | 214 S. GRAND AVE. WEST SPRINGFIELD, IL 627043839 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $15K | — | $15K | 4.43% |
| WEIS INSURANCE AGENCY LLC3 Filed as: WEIS INSURANCE - KATE PASSALACQUA | 2101 S. BANKER ST. EFFINGHAM, IL 62401 | HEALTH ALLIANCE MEDICAL PLANS | $6K | — | $6K | 3.74% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BPA TROXELL BENEFITS LLC | 712 IAA DR. BLOOMINGTON, IL 61701 | MONY LIFE INSURANCE COMPANY OF AMERICA (AXA) | $827 | — | $827 | 14.99% |
| WEIS INSURANCE AGENCY LLC3 | 2101 S BANKER ST PO BOX 787 EFFINGHAM, IL 62401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $496 | — | $496 | 10.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BPA TROXELL BENEFITS LLC | 712 IAA DR. BLOOMINGTON, IL 61701 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 80.63% |
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 | 240 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 70 | $488K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 97 | $2K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 97 | $2K |
| Life insurance(2 contracts, 2 carriers) | MONY LIFE INSURANCE COMPANY OF AMERICA (AXA) | 240 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 240 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.