| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | P.O. BOX 1090 PARIS, IL 61944 | BLUECROSS BLUESHIELD OF ILLIOIS | $69K | $1K | $70K | 3.96% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | P.O. BOX 1090 PARIS, IL 61944 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 7.36% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 5.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 1.91% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | P.O. BOX 1090 PARIS, IL 61944 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 3.41% |
| GARY A EBERLIN3 | 213 LORETTA LANE GODFREY, IL 62035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $963 | — | $963 | 4.79% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | P.O. BOX 1090 PARIS, IL 61944 | CONTINENTAL AMERICAN INSURANCE COMPANY | $942 | — | $942 | 4.69% |
| JACOB THOMAS ARNOLD3 | 13075 MANCHESTER RD., STE 325 DES PERES, MO 63131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $162 | — | $162 | 0.81% |
| CHARLES SLAGLE3 | 5 TURNER RD JACKSONVILLE, IL 62650 | CONTINENTAL AMERICAN INSURANCE COMPANY | $107 | — | $107 | 0.53% |
| JASON EDWARD COX3 | 495 TUNNEL VALLEY LN TUNNEL HILL, IL 62972 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96 | — | $96 | 0.48% |
| JASON HOFFARD3 Filed as: JASON T HOFFARD | 16485 BANISTER RD SESSER, IL 62884 | CONTINENTAL AMERICAN INSURANCE COMPANY | $62 | — | $62 | 0.31% |
| JUDITH GREER LAHAY3 Filed as: JUDITH G GREER LAHAY | 11026 SAINT AMBROSE LN SAINT ANN, MO 63074 | CONTINENTAL AMERICAN INSURANCE COMPANY | $40 | — | $40 | 0.20% |
| WAYNE A GODAIR3 | 13800 BEAR RANCH LANDE GIRARD, IL 62640 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34 | — | $34 | 0.17% |
| JARREN BELT3 | 1795 CLARKSON RD., STE 301 CHESTERFIELD, MO 63017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.14% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1731 MOUNT ZION RD JACKSONVILLE, IL 62650 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.13% |
| TRAVIS COCKBURN3 | 402 N MAIN STREET BENTON, IL 62812 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.10% |
| JAMES D COCKBURN3 | 308 SOUTH COURT MARION, IL 62959 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.10% |
| JOHN W YOUNGBLOOD3 | 6 DOUGLAS DRIVE HERRIN, IL 62948 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.09% |
| JOSHUA LEE JONES3 | 18032 DEERCLIFF CT GLENCOE, MO 63038 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.07% |
| CHRISTIE MARZARI3 Filed as: CHRISTIE M MARZARI | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.02% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | P.O. BOX 632886 CINCINNATI, OH 45263 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.02% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DR SAINT JACOB, IL 62281 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| CRAIG A FINKS3 | 1600 HERITAGE LANDING, STE 115 ST. CHARLES, MO 63303 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | P.O. BOX 1090 PARIS, IL 61944 | VISION SERVICE PLAN | $913 | — | $913 | 6.20% |
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 | 159 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLIOIS | 237 | $1.8M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 360 | $101K |
| Vision | VISION SERVICE PLAN | 123 | $15K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 156 | $140K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 156 | $160K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 156 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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.