| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $42K | $4K | $46K | 4.58% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE, LLC | PO BOX 1090 PARIS, IL 61944 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $1 | $1 | 0.00% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $3K | $83 | $3K | 6.21% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | AFLAC | $3K | — | $3K | 6.19% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $1K | $19 | $1K | 2.23% |
| JACOB T ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $664 | $19 | $683 | 1.24% |
| TARA M JORDAN3 | 800 LAKESHORE DRIVE TUSCOLA, IL 61953 | AFLAC | $476 | — | $476 | 0.86% |
| KELLY THOMAS3 | 9800 OLD BASS ROAD EUGENE, MO 65032 | AFLAC | $7 | — | $7 | 0.01% |
| TY D MAYBERRY3 | 1717 MORRE ROAD OWENSVILLE, MO 65066 | AFLAC | $5 | — | $5 | 0.01% |
| SS ONE LLC3 | 7020 TAYLOR CREEK ROAD JEFFERSON CITY, MO 65101 | AFLAC | $3 | — | $3 | 0.01% |
| ACRISURE LLC3 Filed as: ACRISURE WALLSTREET PARTNERS LLC | 1530 RAX COURT JEFFERSON CITY, MO 65109 | AFLAC | $2 | — | $2 | 0.00% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE LLC | 110 WEST COURT STREET P.O. BOX 1090 PARIS, IL 61944 | DEARBORN LIFE INSURANCE COMPANY | $3K | $993 | $4K | 18.77% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $952 | $50 | $1K | 7.58% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | AFLAC | $979 | — | $979 | 7.41% |
| JACOB T ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $415 | $26 | $441 | 3.34% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $260 | $26 | $286 | 2.16% |
| SHELLY R STEINWAGNER3 | 44 VALENTINE LANE HIGHLAND, IL 62249 | AFLAC | $156 | $66 | $222 | 1.68% |
| JVHAGEDORN LLC3 | 214 TWIN BIRCH COURT LAKE SAINT LOUIS, MO 63367 | AFLAC | $136 | — | $136 | 1.03% |
| MITCHELL J MCCALL3 | 3 STONERIDGE DRIVE KEOKUK, IA 52632 | AFLAC | $61 | — | $61 | 0.46% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | METROPOLITAN LIFE INSURANCE COMPANY | $570 | — | $570 | 5.42% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $242 | $59 | $301 | 3.28% |
| SHELLY R STEINWAGNER3 | 44 VALENTINE LANE HIGHLAND, IL 62249 | AFLAC | $152 | $59 | $211 | 2.30% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROTHERS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | AFLAC | $206 | — | $206 | 2.24% |
| JACOB T ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $137 | $24 | $161 | 1.75% |
| NEAL GOLDBERG3 | 2661 NORTH ILLINOIS STREET #303 SWANSEA, IL 62226 | AFLAC | $112 | — | $112 | 1.22% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $83 | $24 | $107 | 1.16% |
| JONATHAN L CANNON3 | 617 NORTH MARKET STREET MASCOUTAH, IL 62258 | AFLAC | $70 | — | $70 | 0.76% |
| FRANK A HAMILTON3 | 9504 BRIGHTON BUNKER HILL ROAD BUNKER HILL, IL 62014 | AFLAC | $51 | — | $51 | 0.56% |
| ROBERT J ARNOLD3 | 2200 EAST DEVON AVENUE SUITE 357 DES PLAINES, IL 60018 | AFLAC | $50 | — | $50 | 0.54% |
| TARA M JORDAN3 | 800 LAKESHORE DRIVE TUSCOLA, IL 61953 | AFLAC | $39 | — | $39 | 0.42% |
| DAN P. SALVATI3 Filed as: DAN P SALVATI | 975 STANFORD WAY FAIRVIEW HEIGHTS, IL 62208 | AFLAC | $36 | — | $36 | 0.39% |
| JEREMY S KLOKKENGA3 | 20097 SHAKER LAKE ROAD BLOOMINGTON, IL 61705 | AFLAC | $34 | — | $34 | 0.37% |
| CINDY RENEE WEBB3 | 269 WESTWOOD PLACE EAST ALTON, IL 62024 | AFLAC | $26 | — | $26 | 0.28% |
| SANDRA M WEBB3 | 193 RED BUD DRIVE WOOD RIVER, IL 62095 | AFLAC | $26 | — | $26 | 0.28% |
| GARY W WARE JR3 | 3103 MEADOWBROOK DRIVE CHAMPAIGN, IL 61822 | AFLAC | $10 | — | $10 | 0.11% |
| ROBERT A TEJADA3 | 304 WEST MAIN STREET COLLINSVILLE, IL 62234 | AFLAC | $4 | — | $4 | 0.04% |
| MITCHELL J MCCALL3 | 3 STONERIDGE DRIVE KEOKUK, IA 52632 | AFLAC | $4 | — | $4 | 0.04% |
| BRIAN R KIMMEL3 | 309 BRAESWICK DRIVE LAKE ST LOUIS, MO 63367 | AFLAC | $3 | — | $3 | 0.03% |
| JASON HOFFARD3 | 3415 OFFICE PARK DRIVE SUITE C MARION, IL 62959 | AFLAC | $1 | — | $1 | 0.01% |
| MARTHA MONCKTON3 | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AFLAC | $1 | — | $1 | 0.01% |
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 | 325 | 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) | 325 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 183 | $1.0M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 183 | $1.0M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 227 | $11K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 102 | $21K |
| Short-term disability(3 contracts) | AFLAC | 50 | $78K |
| Other(4 contracts, 2 carriers) | AFLAC | 102 | $99K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.