| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE HORTON GROUP3 Filed as: THE HORTON GROUP, INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | BLUECROSS BLUESHIELD OF ILLINOIS | $37K | $4K | $40K | 5.27% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP, INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | KAISER FOUNDATION HEALTH PLAN | $16K | — | $16K | 5.19% |
| AMWINS3 Filed as: LISI, INC. | 1600 W. HILLSDALE BLVD. STE 201 SAN MATEO, CA 944023766 | KAISER FOUNDATION HEALTH PLAN | $6K | — | $6K | 2.08% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | KAISER FOUNDATION HEALTH PLAN | $13K | — | $13K | 5.43% |
| AMWINS3 Filed as: LISI, INC. | 1600 W. HILLSDALE BLVD. STE 201 SAN MATEO, CA 944023766 | KAISER FOUNDATION HEALTH PLAN | $5K | — | $5K | 2.15% |
| HRIS INSURANCE SERVICES3 | 15840 VENTURA BLVD. STE 205 ENCINO, CA 914364746 | KAISER FOUNDATION HEALTH PLAN | -$155 | — | -$155 | -0.22% |
| LOCKTON COMPANIES, LLC3 | 777 S. FIGUEROA ST STE 5200 LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN | -$155 | — | -$155 | -0.22% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | DEARBORN LIFE INSURANCE COMPANY | $2K | $2K | $4K | 30.39% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP, INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | EYEMED VISION CARE | $388 | — | $388 | 9.09% |
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 | 160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 79 | $1.4M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 79 | $766K |
| Vision | EYEMED VISION CARE | 111 | $4K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 160 | $12K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 160 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 160 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.