| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $38K | $209 | $38K | 1.99% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 200 E RANDOLPH ST CHICAGO, IL 60601 | DEAN HEALTH PLAN INC | $27K | — | $27K | 2.33% |
| AON CONSULTING INC3 | 29840 NETWORK PL CHICAGO, IL 60673 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | — | $15K | 7.63% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 200 EAST RANDOLPH STREET CHICAGO, IL 60601 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 15.54% |
| BENEFIT EDUCATORS LLC3 Filed as: BENEFIT EDUCATORS, LLC | 1053 GARRISON LANE SOUDERTON, PA 189642299 | RELIASTAR LIFE INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH STREET PO BOX 1116 HAMMONTON, NJ 08037 | RELIASTAR LIFE INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: ASSURANCE A MARSH & MCLENNAN AGENCY | 20 NORTH MARTINGALE RD. SUITE 100 SCHAUMBURG, IL 60173 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $80 | — | $80 | 0.35% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: ASSURANCE A MARSH & MCLENNAN AGENCY | 20 NORTH MARTINGALE RD. SUITE 100 SCHAUMBURG, IL 60173 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $16 | — | $16 | 0.08% |
| JENNON CARUTH3 | 1331 HEATHER CT. CHANHASSEN, MN 55317 | TRUSTMARK INSURANCE COMPANY | $304 | — | $304 | 4.83% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCCLENNAN AGENCY LLC | 20 N. MARTINGALE RD. STE 100 SCHAUMBURG, IL 60173 | TRUSTMARK INSURANCE COMPANY | $270 | — | $270 | 4.29% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 1060 MAITLAND CENTER COMMONS BLVD. #210 MAITLAND, FL 32751 | TRUSTMARK INSURANCE COMPANY | $30 | — | $30 | 0.48% |
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 | 0 | 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) | 0 | 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 | 372 | $3.1M |
| Dental(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 210 | $226K |
| Vision(4 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 368 | $270K |
| Life insurance(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 210 | $232K |
| Short-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 210 | $226K |
| Long-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 210 | $226K |
| Prescription drug | DEAN HEALTH PLAN INC | 210 | $1.1M |
| Other(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 210 | $249K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 372 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.