Plan Ledger DOL Form 5500 · updated monthly

Carpet Weaver's, Inc.benefits

Carpet Weaver's, Inc. Employee Benefits Plan · CHAMPAIGN, IL · plan year 2023

Broker compensation reported · 2023
$23,690

Carpet Weaver's, Inc.'s benefits plan covered 98 active participants in 2023, providing health · life · dental · short-term disability · long-term disability · other. Insurance brokers and agents were paid $23,690 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $242 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20234
METROPOLITAN LIFE INSURANCE COMPANY · dentalpremiums n/a · 138 covered
DEARBORN LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 88 covered
BLUECROSS BLUESHIELD OF ILLINOIS · healthpremiums n/a · 32 covered
ASSURITY LIFE INSURANCE COMPANYpremiums n/a · 3 covered
Brokers & agents paid · 20236
CLEMENS & ASSOCIATES LIFE AGENCY$14,199 · incl $270 fees
CLEMENS & ASSOCIATESLIFE AGENCY$7,642 · incl $1,959 fees
CLEMENS & ASSOCIATION LIFE AGENCY$1,780
WARE GROUP GENERAL AGENCIES$17
MICHAEL PETERS & ASSOCIATES, INC$9
Individual agent · names withheld$43

Individual agents paid under $1,000 on this filing are shown as a total. The amounts are as filed; only the personal names are withheld.

Also brokered by Clemens & Associates Life Agency4

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 371238997 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.