| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET, SUITE 1100 CHICAGO, IL 60654 | UNITEDHEALTHCARE INSURANCE COMPANY | $56K | $0 | $56K | 2.36% |
| DAVID M. BANET & ASSOCIATES3 | LIONVILLE PROFESSIONAL CENTER 45 DOWLIN FORGE ROAD EXTON, PA 19341 | INDEPENDENCE BLUE CROSS | $11K | $428 | $11K | 3.83% |
| DAVID M. BANET & ASSOCIATES3 | LIONVILLE PROFESSIONAL CENTER EXTON, PA 19341 | INDEPENDENCE BLUE CROSS | $12K | $460 | $12K | 5.04% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 350 NORTH CLARK STREET Q13 CHICAGO, IL 60610 | RELIASTAR LIFE INSURANCE COMPANY | $13K | $0 | $13K | 6.97% |
| DAVID M. BANET & ASSOCIATES3 | LIONVILLE PROFESSIONAL CENTER 45 DOWLIN FORGE ROAD EXTON, PA 19341 | AMERIHEALTH HMO, INC. | $506 | $16 | $522 | 3.11% |
| DAVID HERNANDEZ3 | 3848 WEST CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $783 | $0 | $783 | 13.12% |
| KITTE L ALLEN3 | 678 WALNUT WOODS DRIVE GREENWOOD, IN 46142 | AFLAC | $373 | $0 | $373 | 6.25% |
| CAMERON BELL3 | 2390 CRENSHAW BOULEVARD SUITE 307 TORRANCE, CA 90501 | AFLAC | $121 | $0 | $121 | 2.03% |
| STEVEN R. JOHNSON3 Filed as: STEVEN R JOHNSON | 6167 BRISTOL PARKWAY, SUITE 106 SUITE 106 CULVER CITY, CA 90230 | AFLAC | $119 | $0 | $119 | 1.99% |
| BRETT A RETTENMUND3 | S7991 DENZER ROAD NORTH FREEDOM, WI 53951 | AFLAC | $47 | $67 | $114 | 1.91% |
| SVETLANA ZEITLIN3 | 105 ADDIS DRIVE CHURCHVILLE, PA 18966 | AFLAC | $69 | $0 | $69 | 1.16% |
| JENNIFER ESHAGHIAN3 | 1425 CRESTVIEW COURT LOS ANGELES, CA 90024 | AFLAC | $40 | $0 | $40 | 0.67% |
| VINCENT M MORELLI3 | 746 5TH STREET LYNDHURT, NY 07071 | AFLAC | $19 | $0 | $19 | 0.32% |
| KRISTIN SWISHER3 | 4975 LACROSS ROAD SUITE 201 NORTH CHARLESTON, SC 29406 | AFLAC | $16 | $0 | $16 | 0.27% |
| JOSE A SCHIENEMAN3 | 1020 NORTH DELAWARE AVENUE SUITE 4 PHILADELPHIA, PA 19125 | AFLAC | $12 | $0 | $12 | 0.20% |
| STEPHANIE J RITTNER3 | 109 FONTAINE COURT MONROE TOWNSHIP, NJ 08831 | AFLAC | $7 | $0 | $7 | 0.12% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE ROAD PHILADELPHIA, PA 19125 | AFLAC | $6 | $0 | $6 | 0.10% |
| ADAM H MICHAELS3 | 12121 WILSHIRE BOULEVARD SUITE 1225 LOS ANGELES, CA 90025 | AFLAC | $6 | $0 | $6 | 0.10% |
| JOSE A SCHIENEMAN3 | 1020 NORTH DELAWARE AVENUE 4TH FLOOR PHILADELPHIA, PA 19125 | AFLAC | $6 | $0 | $6 | 0.10% |
| CAMERON BELL3 | 2390 CRENSHAW BOULEVARD SUITE 307 TORRANCE, CA 90501 | AFLAC | $4 | $0 | $4 | 0.07% |
| TIMOTHY B ASBY3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $1 | $0 | $1 | 0.02% |
| NASHVILLE & ASSOCIATES3 | 14220 OVERBROOK DRIVE CARMEL, IN 46074 | AFLAC | $1 | $0 | $1 | 0.02% |
| KITTE L ALLEN3 | 678 WALNUT WOODS DRIVE GREENWOOD, IN 46142 | AFLAC | $1 | $0 | $1 | 0.02% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER ROAD NORTH FREEDOME, WI 53951 | AFLAC | $1 | $0 | $1 | 0.02% |
| STEVEN R. JOHNSON3 Filed as: STEVEN R JOHNSON | 3848 WEST CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $1 | $0 | $1 | 0.02% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 321 NORTH CLARK STREET CHICAGO, IL 60610 | GERBER LIFE INSURANCE COMPANY | $247 | $0 | $247 | 14.98% |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | INDEPENDENCE BLUE CROSS | 27 | $545K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 493 | $2.4M |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 312 | $193K |
| Short-term disability(2 contracts) | RELIASTAR LIFE INSURANCE COMPANY | 312 | $198K |
| Long-term disability(2 contracts) | RELIASTAR LIFE INSURANCE COMPANY | 312 | $198K |
| Prescription drug | INDEPENDENCE BLUE CROSS | 23 | $240K |
| Other(4 contracts, 3 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 312 | $205K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 493 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.