City Beverage dba Lakeshore Beverage
Updated Filing received by DOL
City Beverage dba Lakeshore Beverage, a wholesale trade employer in Chicago, Illinois, reported 362 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 2 insurance contracts with no premium reported and $197,766 in broker commissions and fees. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on June 26, 2025, before the deadline.
Who was paid on City Beverage dba Lakeshore Beverage's plan
Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract City Beverage dba Lakeshore Beverage filed for 2024.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| Gallagher · Brentwood, TN | $66,991 | $124,035 | $191,026 | 2 |
| Jennings Insurance Services · Orlando, FL | $6,741 | $0 | $6,741 | 1 |
Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.
Insurance contracts and carriers
Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.
| Carrier · coverage | Covered | Premium | Broker pay | Rate |
|---|---|---|---|---|
| Cigna Health and Life Insurance Companyhealth, dental, vision, prescription drug | 358 | — | $127,785 | — |
| The Guardian Life Insurance Company of Americalife, short-term disability, long-term disability, indemnity | 367 | — | $69,981 | — |
Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.
How City Beverage dba Lakeshore Beverage compares
Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.
Not computable: no insured medical premium on the filing.
Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.
Year over year
| 2023 | 2024 | Change | |
|---|---|---|---|
| Participants | 372 | 362 | −2.7% |
| Premiums filed | $0 | $0 | not comparable |
| Broker commissions + fees | $212,044 | $197,766 | −6.7% |
| Commission rate | — | — | — |
Source: DOL Form 5500 filings for plan years 2023 and 2024.
Filings and timeliness
Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.
| Plan | Plan year end | Received by DOL | Timing | Participants |
|---|---|---|---|---|
| City Beverage dba Lakeshore Beverage Employee Benefits Plan#501 · final filing · insurance | December 31, 2024 | June 26, 2025 | before deadline | 362 |
Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.
How much did City Beverage dba Lakeshore Beverage pay in health insurance broker commissions in 2024?
City Beverage dba Lakeshore Beverage's 2024 Form 5500 reports $197,766 in broker commissions and fees across 2 insurance contracts ($73,731 in commissions, $124,035 in fees), with Gallagher receiving the largest share.
Is City Beverage dba Lakeshore Beverage's health plan self-funded or fully insured?
The 2024 filing indicates the plan is fully insured (an insurance carrier pays claims). Medical coverage is written by Cigna Health and Life Insurance Company.
How does City Beverage dba Lakeshore Beverage's broker compensation compare with similar employers?
A commission-to-premium ratio cannot be computed for City Beverage dba Lakeshore Beverage because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.
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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.