| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 N CLARK CHICAGO, IL 60654 | BLUECROSS BLUESHIELD OF ILLINOIS | $89K | $3K | $92K | 3.05% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC | 353 N CLARK ST STE 1100 CHICAGO, IL 60654 | DELTA DENTAL OF ILLINOIS | $11K | $0 | $11K | 5.46% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST STE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 10.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 N CLARK ST STE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST STE 1100 CHICAGO, IL 60654 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 NORTH CLARK STREET CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $280 | $0 | $280 | 1.37% |
| RUSSELL NOWAK3 | 8009 VALLEY DRIVE PALOS HILLS, IL 60465 | CONTINENTAL AMERICAN INSURANCE COMPANY | $248 | $0 | $248 | 1.22% |
| MICHAEL ROBERT YURCZYK3 Filed as: MICHAEL R. YURCZYK | 5810 W. 78TH STREET SUITE 210 BLOOMINGTON, MN 55439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $215 | $0 | $215 | 1.06% |
| ANNA ELIZABETH INC3 | 2821 N. OCEAN BLVD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $89 | $0 | $89 | 0.44% |
| THE PROFECTUS GROUP LLC3 | 450 W. WILSON BRIDGE ROAD SUITE 110 WORTHINGTON, OH 43085 | CONTINENTAL AMERICAN INSURANCE COMPANY | $72 | $0 | $72 | 0.35% |
| JV FLORIDA INSURANCE CORP3 Filed as: JV FLORIDA INSURANCE GROUP | 2821 NORTH OCEAN BLVD #305 FT. LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $68 | $0 | $68 | 0.33% |
| SUMMER L CAIN3 Filed as: SUMMER L. CAIN | 1620 ABINGTON LANE NORTH AURORA, IL 60542 | CONTINENTAL AMERICAN INSURANCE COMPANY | $63 | $0 | $63 | 0.31% |
| EL TORRO INC3 Filed as: EL TORRO, INC. | 900 N. KINGSBURY ST. APT 823 CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | $0 | $50 | 0.25% |
| JEFFREY L GRACE3 Filed as: JEFFREY L. GRACE | P.O. BOX 5096 WHEATON, IL 60189 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | $0 | $44 | 0.22% |
| CHAD L NELSON3 Filed as: CHAD L. NELSON | 5266 N. KUFALK LANE BYRON, IL 61010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | $0 | $27 | 0.13% |
| MESIROW INSURANCE SERVICES INC3 | 353 N. CLARK STREET CHICAGO, IL 60654 | FEDERAL INSURANCE COMPANY | $50 | $11 | $61 | 18.37% |
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 | 242 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 518 | $3.0M |
| Dental | DELTA DENTAL OF ILLINOIS | 233 | $210K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $56K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 218 | $37K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 541 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 541 | — |
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.