| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: CORKILL INSURANCE AGENCY INC. | 25 NORTHWEST POINT BLVD, STE. 625 ELK GROVE VILLAGE, IL 60007 | HEALTH CARE SERVICE CORPORATION | $76K | $1K | $78K | 3.42% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | HEALTH CARE SERVICE CORPORATION | $12K | — | $12K | 0.52% |
| ACRISURE LLC3 Filed as: CORKILL INSURANCE AGENCY INC. | 25 NORTHWEST POINT BLVD, STE. 625 ELK GROVE VILLAGE, IL 60007 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 5.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $406 | $180 | $586 | 0.82% |
| ACRISURE LLC3 Filed as: CORKILL INSURANCE AGENCY INC. | 25 NORTHWEST POINT BLVD, STE. 625 ELK GROVE VILLAGE, IL 60007 | VISION SERVICE PLAN | $851 | — | $851 | 6.63% |
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 | 152 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 338 | $2.3M |
| Dental | HEALTH CARE SERVICE CORPORATION | 338 | $2.3M |
| Vision | VISION SERVICE PLAN | 119 | $13K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $71K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $71K |
| Prescription drug | HEALTH CARE SERVICE CORPORATION | 338 | $2.3M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 338 | — |
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.