| 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 | $93K | $3K | $95K | 2.59% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 N CLARK ST STE 1100 CHICAGO, IL 60654 | DELTA DENTAL OF ILLINOIS | $10K | $0 | $10K | 5.00% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST STE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 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 606543454 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 7.26% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 N CLARK ST FL 11 CHICAGO, IL 606543454 | UNITEDHEALTHCARE INSURANCE COMPANY | $883 | $0 | $883 | 3.62% |
| RUSSELL NOWAK3 | 8009 VALLEY DRIVE PALOS HILLS, IL 60465 | CONTINENTAL AMERICAN INSURANCE COMPANY | $358 | $0 | $358 | 1.76% |
| MICHAEL ROBERT YURCZYK3 Filed as: MICHAEL R. YURCZYK | 701 N. 2ND STREET #602 MINNEAPOLIS, MN 55401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $349 | $0 | $349 | 1.71% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | ATTN LEGAL COMP 353 NORTH CLARK STREET CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $333 | $0 | $333 | 1.63% |
| ANNA ELIZABETH INC3 | 2821 N. OCEAN BLVD APT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | $0 | $144 | 0.71% |
| JV FLORIDA INSURANCE CORP3 | 2821 NORTH OCEAN BLVD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $111 | $0 | $111 | 0.54% |
| SUMMER L CAIN3 Filed as: SUMMER L. CAIN | 10040 W CHEYENNE AVE SUITE 170-249 LAS VEGAS, NV 89129 | CONTINENTAL AMERICAN INSURANCE COMPANY | $103 | $0 | $103 | 0.51% |
| THE PROFECTUS GROUP LLC3 Filed as: THE PROFECTUS GROUP MIDWEST, LLC | THE PROFECTUS GROUP, LLC 450 WEST WILSON BRIDGE ROAD STE 110 WORTHINGTON, OH 43085 | CONTINENTAL AMERICAN INSURANCE COMPANY | $99 | $0 | $99 | 0.49% |
| EL TORRO INC3 Filed as: EL TORRO INC. | 5425 MILLS RIDGE DR SW WYOMING, MI 49418 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | $0 | $56 | 0.27% |
| CHAD L NELSON3 Filed as: CHAD L. NELSON | 5266 N KUFALK LANE BYRON, IL 61010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | $0 | $46 | 0.23% |
| JEFFREY LEON GRACE3 | 1123 RHODES CT WHEATON, IL 60187 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.02% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 353 N. CLARK STREET CHICAGO, IL 60654 | FEDERAL INSURANCE COMPANY | $129 | $16 | $145 | 16.92% |
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 | 266 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 272 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 498 | $3.7M |
| Dental | DELTA DENTAL OF ILLINOIS | 235 | $204K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 257 | $78K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 230 | $44K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 541 | $100K |
| 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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.