| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCEPROVIDERSGROUPOFILBENEFITS3 | 3302 MISSION DR SUITE 104 CHAMPAIGN, IL 61822 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $67K | $67K | 3.02% |
| SUPERIOR INSURANCE PARTNERS LLC3 | 3302 MISSION DR SUITE 104 CHAMPAIGN, IL 61822 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $47K | $47K | 2.12% |
| AP BENEFITS ADVISORS LLC3 | 540 GAITHERS ROAD ROCKVILLE, MD 208506713 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $24K | $24K | 1.06% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC -KS & MO | 2340 DES PLAINES RIVER RD STE 16G PHOENIX, AZ 60018 | UNITED HEALTHCARE INSURANCE COMPANY | $11K | $0 | $11K | 0.50% |
| INSURANCEPROVIDERSGROUPOFILBENEFITS3 | 3302 MISSION DR SUITE 104 CHAMPAIGN, IL 61822 | HAWAII MEDICAL SERVICE ASSOCIATION | — | $21K | $21K | 3.12% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS CAPITAL INC | — | HAWAII MEDICAL SERVICE ASSOCIATION | — | $6K | $6K | 0.89% |
| INSURANCEPROVIDERSGROUPOFILBENEFITS3 | 3302 MISSION DR SUITE 104 CHAMPAIGN, IL 61822 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | $5K | $17K | 6.45% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 10 N PARK DR STE 200 HUNT VALLEY, MD 210301827 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $1K | $9K | 3.55% |
| SUPERIOR INSURANCE PARTNERS LLC3 | 420 FINANCIAL CT STE 102 ROCKFORD, IL 611076669 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 1.43% |
| ALSTON, ROBIN H.3 | P.O. BOX 20787 ATLANTA, GA 30320 | SYMETRA LIFE INSURANCE COMPANY | $10K | $4K | $14K | 11.85% |
| INSURANCEPROVIDERSGROUPOFILBENEFITS3 | 3302 MISSION DR SUITE 104 CHAMPAIGN, IL 61822 | KAISER FOUNDATION HEALTH PLAN INC. REGION HI | $1K | $0 | $1K | 1.71% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 10 N PARK DR STE 200 HUNT VALLEY, MD 21030 | KAISER FOUNDATION HEALTH PLAN INC. REGION HI | $929 | $0 | $929 | 1.11% |
| SUPERIOR INSURANCE PARTNERS LLC3 | 233 MICHIGAN AVE SUITE 1990 CHICAGO, IL 60601 | KAISER FOUNDATION HEALTH PLAN INC. REGION CA | $1K | $0 | $1K | 2.24% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 10 N PARK DR STE 200 HUNT VALLEY, MD 21030 | KAISER FOUNDATION HEALTH PLAN INC. REGION CA | $655 | $0 | $655 | 1.11% |
| INSURANCEPROVIDERSGROUPOFILBENEFITS3 | 3302 MISSION DR SUITE 104 ROCKVILLE, MD 20850 | UNITED HEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 7.05% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 540 GAITHER ROAD ROCKVILLE, MD 20850 | UNITED HEALTHCARE INSURANCE COMPANY | $904 | $0 | $904 | 2.41% |
| NICOLE GOLDEN3 Filed as: NICOLE DANIELLE GOLDEN | 6729 SUGAR HILL DRIVE NASHVILLE, TN 37211 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 22.01% |
| MICHAEL K PORTER3 Filed as: MICHAEL KELLY PORTER | 4000 HOLLYWOOD BLVD SUITE 555-S HOLLYWOOD, FL 33021 | CONTINENTAL AMERICAN INSURANCE COMPANY | $288 | $0 | $288 | 5.68% |
| ABBE E BARFIELD3 | 3302 MISSION DR SUITE 104 CHAMPAIGN, IL 61822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | $0 | $144 | 2.84% |
| AP BENEFIT ADVISORS, LLC3 | 10 NORTH PARK DRIVE HUNT VALLEY, MD 21031 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$97 | $0 | -$97 | -1.91% |
| GLOBAL MEDICAL RESPONSE INC0 | P.O. BOX 948 WEST PLAN, MO 65775 | AIRMEDCARE NETWORK | — | $4K | $4K | 100.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE PROVIDERS GROUP OF IL EIN 81-1424061 CONSULTANT AND BROKER | Insurance agents and brokers; Consulting fees; Insurance brokerage commissions and fees Service code 22 | 3302 MISSION DRIVE SUITE 104 CHAMPAIGN, IL 61822 | $131K |
| SUPERIOR INSURANCE PARTNERS LLC CONSULTANT AND BROKER | Consulting fees; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 420 FINANCIAL COURT SUITE 102 ROCKFORD, IL 611076669 | $52K |
| AP BENEFIT ADVISORS LLC CONSULTANT AND BROKER | Consulting fees; Insurance agents and brokers; Insurance services; Insurance brokerage commissions and fees Service code 22 | 10 NORTH PARK DR SUITE 200 HUNT VALLEY, MD 21031 | $47K |
| ROBIN H ALSTON EIN 58-1873472 CONSULTANT AND BROKER | Insurance brokerage commissions and fees; Consulting fees; Insurance agents and brokers Service code 22 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | $14K |
| ROGERS BENEFIT GROUP INC KC-MO EIN 41-1596522 CONSULTANT AND BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers; Consulting fees Service code 22 | P.O. BOX 20787 ATLANATA, GA 30320 | $11K |
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 | 1,082 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,085 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 335 | $3.1M |
| Dental(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 495 | $942K |
| Vision(2 contracts, 2 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 495 | $942K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 558 | $118K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 558 | $118K |
| Prescription drug | HAWAII MEDICAL SERVICE ASSOCIATION | 117 | $686K |
| Other(3 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 117 | $695K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 558 | — |
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.