| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $49K | $1K | $51K | 4.05% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 2.83% |
| ENROLLEASE3 Filed as: ENROLLEASE INC | 7979 OLD GEORGETOWN ROAD SUITE 300 BETHESDA, MD 20814 | METROPOLITAN LIFE INSURANCE COMPANY | — | $525 | $525 | 0.58% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $3K | $97 | $3K | 5.43% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | AFLAC | $3K | — | $3K | 5.26% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $607 | — | $607 | 1.15% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1731 MOUNT ZION ROAD JACKSONVILLE, IL 62650 | AFLAC | $458 | $23 | $481 | 0.91% |
| CHARLES B SLAGLE3 | 17465 US HIGHWAY 136 HAVANA, IL 62644 | AFLAC | $452 | $23 | $475 | 0.90% |
| TARA M JORDAN3 | 800 LAKESHORE DRIVE TUSCOLA, IL 61953 | AFLAC | $303 | — | $303 | 0.57% |
| JACOB T ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $242 | — | $242 | 0.46% |
| MWAGIA INC3 | 1701 1ST AVENUE ROCK ISLAND, IL 61201 | AFLAC | $52 | — | $52 | 0.10% |
| TINA M LASSUY3 | 5312 11TH AVENUE A MOLINE, IL 61265 | AFLAC | $44 | — | $44 | 0.08% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | PO BOX 335 JOHNSTON CITY, IL 62951 | AFLAC | $9 | — | $9 | 0.02% |
| CHRISTOPHER J BAYER3 | 11 FAIRWAY ROAD GALESBURG, IL 61401 | AFLAC | $7 | — | $7 | 0.01% |
| JASON HOFFARD3 Filed as: JASON T HOFFARD | 3415 OFFICE PARK DRIVE SUITE C MARION, IL 62959 | AFLAC | $2 | — | $2 | 0.00% |
| MARTHA MONCKTON3 Filed as: MARTHA S MONCKTON | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AFLAC | $2 | — | $2 | 0.00% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $1K | $63 | $1K | 7.91% |
| DIAMOND BROS INSURANCE LLC3 | PO BOX 1090 PARIS, IL 61944 | AFLAC | $1K | — | $1K | 7.35% |
| CHARLES B SLAGLE3 | 17465 US HIGHWAY 136 HAVANA, IL 62644 | AFLAC | $343 | $15 | $358 | 2.40% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1731 MOUNT ZION ROAD JACKSONVILLE, IL 62650 | AFLAC | $285 | $15 | $300 | 2.01% |
| JACOB T ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $94 | — | $94 | 0.63% |
| SHELLY R STEINWAGNER3 | 316 WEST MAIN STREET LEBANON, IL 62254 | AFLAC | $77 | — | $77 | 0.52% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $43 | — | $43 | 0.29% |
| MITCHELL J MCCALL3 | 3 STONERIDGE DRIVE KEOKUK, IA 52632 | AFLAC | $23 | — | $23 | 0.15% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | AFLAC | $636 | — | $636 | 5.20% |
| SHELLY R STEINWAGNER3 | 316 WEST MAIN STREET LEBANON, IL 62254 | AFLAC | $474 | $66 | $540 | 4.42% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $285 | $28 | $313 | 2.56% |
| CHARLES B SLAGLE3 | 17465 US HIGHWAY 136 HAVANA, IL 62644 | AFLAC | $221 | $20 | $241 | 1.97% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1731 MOUNT ZION ROAD JACKSONVILLE, IL 62650 | AFLAC | $195 | $22 | $217 | 1.78% |
| JACOB T ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $109 | — | $109 | 0.89% |
| NEAL GOLDBERG3 | 2661 NORTH ILLINOIS STREET #303 SWANSEA, IL 62226 | AFLAC | $104 | — | $104 | 0.85% |
| ROBERT J ARNOLD3 | 2200 EAST DEVON AVENUE SUITE 357 DES PLAINES, IL 60018 | AFLAC | $46 | — | $46 | 0.38% |
| AMBER NICOLE ARNOLD3 | 10 DAVID DRIVE SAINT JACOB, IL 62281 | AFLAC | $36 | — | $36 | 0.29% |
| DANIEL P SALVATI3 | 975 STANFORD WAY FAIRVIEW HEIGHTS, IL 62208 | AFLAC | $34 | — | $34 | 0.28% |
| CINDY RENEE WEBB3 | 269 WESTWOOD PLACE EAST ALTON, IL 62024 | AFLAC | $24 | — | $24 | 0.20% |
| SANDRA M WEBB3 | 193 RED BUD DRIVE WOOD RIVER, IL 62095 | AFLAC | $24 | — | $24 | 0.20% |
| FRANK A HAMILTON3 | 9504 BRIGHTON BUNKER HILL ROAD BUNKER HILL, IL 62014 | AFLAC | $17 | — | $17 | 0.14% |
| JEREMY S KLOKKENGA3 | 20097 SHAKER LAKE ROAD BLOOMINGTON, IL 61705 | AFLAC | $12 | — | $12 | 0.10% |
| GARY W WARE JR3 | 3103 MEADOWBROOK DRIVE CHAMPAIGN, IL 61822 | AFLAC | $9 | — | $9 | 0.07% |
| TARA M JORDAN3 | 800 LAKESHORE DRIVE TUSCOLA, IL 61953 | AFLAC | $9 | — | $9 | 0.07% |
| BRIAN R KIMMEL3 | 309 BRAESWICK DRIVE LAKE SAINT LOUIS, MO 63367 | AFLAC | $3 | — | $3 | 0.02% |
| ROBERT A TEJADA3 | 304 WEST MAIN STREET COLLINSVILLE, IL 62234 | 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 | 226 | 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) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 179 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $90K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $90K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $90K |
| Short-term disability(3 contracts) | AFLAC | 39 | $80K |
| Other(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 337 | — |
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.