| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $6K | $19K | 13.95% |
| ESSER HAYES INSURANCE GROUP3 Filed as: ESSER HAYES INSURANCE GROUP, INC. | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $136 | $41 | $177 | 0.13% |
| ASSUREDPARTNERS3 | 4350 WEAVER PARKWAY WARRENVILLE, IL 60555 | LEGALSHIELD | $141 | $0 | $141 | 1.19% |
| NICHOLAS MEREDITH3 | 1404 NORTH FRANKLIN STREET DANVILLE, IL 61832 | LEGALSHIELD | $101 | $0 | $101 | 0.85% |
| TANYA DECKERT3 Filed as: TANYA S. DECKHERT | 3206 FAWN HILL COURT URBANA, IL 61802 | AFLAC | $67 | $0 | $67 | 5.68% |
| JOHN W. LENZ3 | 399 NORTH LYNN AVENUE REPUBLIC, MO 65738 | AFLAC | $21 | $0 | $21 | 1.78% |
| ERIN B. FORSYTH3 | 37 NORTH VERMILION STREET DANVILLE, IL 61832 | AFLAC | $16 | $0 | $16 | 1.36% |
| SHARYL K BATHE3 Filed as: SHARYL K. JUNEAU | 620 ODD FELLOW ROAD MATTOON, IL 61938 | AFLAC | $10 | $0 | $10 | 0.85% |
| JAMES M BROCK3 Filed as: JAMES M. BROCK | 3116 WILLIAMSON COUNTY PARKWAY MARION, IL 62959 | AFLAC | $9 | $0 | $9 | 0.76% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J. COCKBURN AND OTHER AGENTS | PO BOX 355 JOHNSTON CITY, IL 62951 | AFLAC | $5 | $0 | $5 | 0.42% |
| GARY W WARE JR3 Filed as: GARY W. WARE, JR. | 3103 MEADOWBROOK DRIVE CHAMPAIGN, IL 61822 | AFLAC | $2 | $0 | $2 | 0.17% |
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 | 131 | 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) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $138K |
| Vision | VISION SERVICE PLAN | 76 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $138K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $140K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $138K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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.