| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFITS SERVICE | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $7 | $7 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BENEFITS SERVICE | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $7 | $7 | 0.00% |
| PLANMECA USA, INC.3 | 2600 FORBS AVENUE HOFFMAN ESTATES, IL 60192 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $6 | $6 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER INS SERVICES INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $2K | $16K | 8.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $809 | $10K | 16.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $805 | $10K | 16.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $798 | $10K | 16.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $740 | $9K | 16.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $326 | $3K | 11.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $182 | $3K | 21.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CONNOR & GALLAGHER BEN SVCS INC | 750 WARRENVILLE ROAD SUITE 400 LISLE, IL 60532 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $145 | $2K | 21.30% |
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 | 244 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 249 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 448 | $3.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 739 | $194K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 194 | $26K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $118K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $64K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $64K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 448 | $3.3M |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $143K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 739 | — |
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.