| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $71K | $2K | $73K | 3.06% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | PO BOX 1090 PARIS, IL 61944 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $11 | $11 | 0.00% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE, LLC | 928 BOX 1090 PRIS, IL 61944 | BLUECROSS BLUESHIELD OF ILLINOIS | — | $5 | $5 | 0.00% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 4.23% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 6.22% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 7.86% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS | 928 CLINTON ROAD PARIS, IL 61944 | HEALTHIEST YOU | $3K | — | $3K | 15.00% |
| SARAH L SKLAMBERG-ROBESON3 | 3378 DEKALB LANE NEENAH, WI 54956 | NATIONAL GUARDIAN LIFE INSURANCE | $2K | — | $2K | 10.92% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 11.29% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 13.25% |
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 | 229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 232 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 280 | $2.4M |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 180 | $151K |
| Vision | STANDARD INSURANCE COMPANY | 146 | $15K |
| Life insurance | STANDARD INSURANCE COMPANY | 229 | $87K |
| Short-term disability | STANDARD INSURANCE COMPANY | 63 | $15K |
| Long-term disability | STANDARD INSURANCE COMPANY | 229 | $82K |
| Other(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 230 | $192K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.