| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE, LLC | — | BLUECROSS BLUESHIELD OF ILLINOIS | $72K | $1K | $73K | 2.80% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 3.85% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 6.34% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $8K | — | $8K | 8.34% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 4.93% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | PO BOX 1090 PARIS, IL 61944 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 10.33% |
| SARAH L SKLAMBERG-ROBESON3 | 3378 DEKALB LANE NEENAH, WI 54956 | NATIONAL GUARDIAN LIFE INSURANCE | $2K | — | $2K | 10.15% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS | 928 CLINTON ROAD PARIS, IL 61944 | HEALTHIESTYOU C/O TELADOC HEALTH INC | $2K | — | $2K | 15.00% |
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 | 237 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 255 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 280 | $2.6M |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 186 | $172K |
| Vision | STANDARD INSURANCE COMPANY | 155 | $27K |
| Life insurance | STANDARD INSURANCE COMPANY | 237 | $106K |
| Short-term disability | STANDARD INSURANCE COMPANY | 77 | $22K |
| Long-term disability | STANDARD INSURANCE COMPANY | 230 | $92K |
| Other(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 237 | $210K |
| 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.