| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AXION RMS LTD3 | 2443 WARRENVILLE RD SUITE 610 LISLE, IL 60532 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $28K | $563 | $28K | 4.49% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 8.97% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE ST SUITE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 2.73% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD SUITE 610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $551 | — | $551 | 1.33% |
| THE JELLYVISION LAB, INC.3 Filed as: THE JELLYVISION LAB INC. | 848 W EASTMAN STE 104 CHICAGO, IL 60642 | STANDARD INSURANCE COMPANY | — | $69 | $69 | 0.17% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 20.00% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $0 | $545 | $545 | 2.27% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $395 | — | $395 | 1.64% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | — | $234 | $234 | 2.24% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $191 | — | $191 | 1.83% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $136 | — | $136 | 1.56% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | — | $49 | $49 | 0.56% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD SUITE 610 LISLE, IL 60532 | EYEMED VISION CARE | $562 | — | $562 | 9.80% |
| THREEFLOW3 | 227 W MONROE STREET SUITE 5200 CHICAGO, IL 60606 | EYEMED VISION CARE | $70 | — | $70 | 1.22% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $810 | — | $810 | 20.00% |
| WATCHTOWER TECHNOLOGIES INC3 | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | — | $89 | $89 | 2.20% |
| AXION RMS LTD3 | 2443 WARRENVILLE RD #610 LISLE, IL 60532 | STANDARD INSURANCE COMPANY | $66 | — | $66 | 1.63% |
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 | 164 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 155 | $630K |
| Dental | STANDARD INSURANCE COMPANY | 99 | $41K |
| Vision | EYEMED VISION CARE | 114 | $6K |
| Life insurance | STANDARD INSURANCE COMPANY | 164 | $24K |
| Short-term disability | STANDARD INSURANCE COMPANY | 41 | $10K |
| Long-term disability | STANDARD INSURANCE COMPANY | 36 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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.