| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MEISROW INSURANCE SERVICES | 353 N. CLARK STREET, SUITE 1100 CHICAGO, IL 60654 | HEALTH CARE SERVICES CORPORATION | $0 | $2K | $2K | 0.10% |
| NICOLE A MAY3 | 5050 MURPHY CANYON ROAD SUITE 150 SAN DIEGO, CA 92123 | AFLAC | $1K | $0 | $1K | 5.14% |
| ROCKWELL & ASSOCIATES3 Filed as: ROCKWELL & ASSOCIATES LTD | 303 W. ERIE ST SUITE 400 CHICAGO, IL 60654 | AFLAC | $1K | $0 | $1K | 4.61% |
| ROBERT J AURIN3 Filed as: ROBERT J. AURIN | 2737 NORTH HAMPDEN COURT CHICAGO, IL 60614 | AFLAC | $341 | $0 | $341 | 1.50% |
| GENAVIE OLIVERI3 | 2642 W. FOSTER AVENUE APT 302 CHICAGO, IL 60625 | AFLAC | $277 | $0 | $277 | 1.22% |
| PAUL MCNICHOLAS3 | 1232 LAURIE LANE BURR RIDGE, IL 60527 | AFLAC | $201 | $0 | $201 | 0.89% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | 360 W ILLINOIS ST. APT 9A CHICAGO, IL 60654 | AFLAC | $100 | $0 | $100 | 0.44% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS & ASSOCIATES LTD | 12121 WILSHIRE BLVD SUITE 1000 LOS ANGELES, CA 90025 | AFLAC | $96 | $0 | $96 | 0.42% |
| MARC D BARNES3 Filed as: MARC D. BARNES | 2545 S. DEARBORN APT. 514 CHICAGO, IL 60616 | AFLAC | $89 | $0 | $89 | 0.39% |
| MARK D BARBIER3 Filed as: MARK D. BARBIER | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | AFLAC | $84 | $0 | $84 | 0.37% |
| ELIZABETH M GASPAROVIC3 Filed as: ELIZABETH M. GASPAROVIC | 1531 W RUE JAMES PLACE PALATINE, IL 60067 | AFLAC | $22 | $0 | $22 | 0.10% |
| MONSERRATE MARTINEZ3 | 2019 EXMOOR CT NAPERVILLE, IL 60565 | AFLAC | $5 | $0 | $5 | 0.02% |
| JUAN J MARTINEZ3 Filed as: JUAN J. MARTINEZ | 2019 EXMOOR COURT NAPERVILLE, IL 60565 | AFLAC | $3 | $0 | $3 | 0.01% |
| BARBIER GROUP INC3 Filed as: BARBIER GROUP INC. | 414 N ORLEANS STREET SUITE 601 CHICAGO, IL 60654 | AFLAC | $2 | $0 | $2 | 0.01% |
| JASON P TIPPY3 Filed as: JASON TIPPY | 2729 N MAGNOLIA AVENUE CHICAGO, IL 60614 | AFLAC | $2 | $0 | $2 | 0.01% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH CARE SERVICES CORPORATION | 0 | $1.8M |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 0 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.