| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMPLIFY INSURANCE AGENCY Filed as: AMPLIFY AGENCY LLC | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | AETNA LIFE INSURANCE CO | $703K | $0 | $703K | 4.38% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | METROPOLITAN LIFE INSURANCE COMPANY | $320K | $14 | $320K | 9.71% |
| AMPLIFY INSURANCE AGENCY | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | UNUM LIFE INSURANCE COMANY OF AMERICA | $21K | — | $21K | 1.30% |
| AMPLIFY INSURANCE AGENCY | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | UNUM LIFE INSURANCE COMANY OF AMERICA | $75K | $0 | $75K | 16.22% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | METROPOLITAN LIFE INSURANCE COMPANY | $39K | $14 | $39K | 15.96% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | METROPOLITAN LIFE INSURANCE COMPANY | $30K | $14 | $30K | 17.55% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | METROPOLITAN LIFE INSURANCE COMPANY | $24K | $14 | $24K | 19.53% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $2K | — | $2K | 8.96% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $804 | $0 | $804 | 9.59% |
| AMPLIFY INSURANCE AGENCY3 | 1033 SKOKIE BLVD SUITE 430 NORTHBROOK, IL 60062 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $241 | — | $241 | 9.21% |
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 | 5,644 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 56 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,700 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | AETNA LIFE INSURANCE CO | 3,342 | $16.6M |
| Dental(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 6,614 | $3.3M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 6,614 | $3.3M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMANY OF AMERICA | 4,948 | $2.1M |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 6,614 | $4.9M |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 6,614 | $4.9M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMANY OF AMERICA | 4,948 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,614 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.