| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N CLARK ST., STE 1100 CHICAGO, IL 60654 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $42K | $3K | $45K | 1.80% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 20 N. MARTINGALE RD., STE 100 SCHAUMBURG, IL 60173 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $20K | — | $20K | 0.82% |
| SCRAP METAL SERVICES, LLC3 Filed as: SCRAP METAL SERVICES LLC | 13830 S. BRAINARD AVE BURHAM, IL 60633 | BLUE CROSS BLUE SHIELD OF ILLINOIS | — | $4 | $4 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST., STE 1100 CHICAGO, IL 60654 | UNITED HEALTHCARE INSURANCE CO | $7K | $10K | $17K | 11.01% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 20 N. MARTINGALE RD., STE 100 SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE CO | $2K | — | $2K | 1.57% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK ST., STE 1100 CHICAGO, IL 60654 | PRINCIPAL LIFE INSURANCE CO | $8K | — | $8K | 7.41% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 111 N CANAL ST., STE 550 CHICAGO, IL 60606 | PRINCIPAL LIFE INSURANCE CO | $3K | — | $3K | 3.19% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 N CLARK STREET CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE CO | $4K | — | $4K | 13.93% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 N CLARK STREET CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE CO | $2K | — | $2K | 6.00% |
| TBX EMPLOYEE BENEFITS LLC3 Filed as: TBX EMPLOYEE BENEFITS, LLC | 1201 ELM ST STE 4250 DALLAS, TX 75270 | CONTINENTAL AMERICAN INSURANCE CO | $807 | — | $807 | 3.10% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 1750 E GOLF RD SCHAUMBURG, IL 60173 | CONTINENTAL AMERICAN INSURANCE CO | $139 | — | $139 | 0.53% |
| MICHAEL ROBERT YURCZYK3 Filed as: MICHAEL R YURCZYK | 5810 W. 78TH ST STE 210 BLOOMINGTON, MN 55439 | CONTINENTAL AMERICAN INSURANCE CO | $74 | — | $74 | 0.28% |
| NORMA HUERTA3 | 14420 S. ALBANY AVE POSEN, IL 60469 | CONTINENTAL AMERICAN INSURANCE CO | $40 | — | $40 | 0.15% |
| JV FLORIDA INSURANCE CORP3 | 2821 NORTH OCEAN BLVD STE 305 FT. LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE CO | $5 | — | $5 | 0.02% |
| JACQUELINE CASTRO3 | 1133 N DEARBORN ST CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE CO | $1 | — | $1 | 0.00% |
| JOSEPH P CALARCO3 Filed as: JOSEPH NASCA | 28081 W MAPLE AVE BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE CO | $1 | — | $1 | 0.00% |
| TODD DEVOSS3 | 321 N. CLARK ST STE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE CO | $1 | — | $1 | 0.00% |
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 | 269 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 271 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 472 | $2.5M |
| Dental | UNITED HEALTHCARE INSURANCE CO | 536 | $151K |
| Vision | UNITED HEALTHCARE INSURANCE CO | 536 | $151K |
| Life insurance | PRINCIPAL LIFE INSURANCE CO | 330 | $104K |
| Short-term disability | PRINCIPAL LIFE INSURANCE CO | 330 | $104K |
| Long-term disability | PRINCIPAL LIFE INSURANCE CO | 330 | $104K |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE CO | 383 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 536 | — |
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.