| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60610 | DEARBORN LIFE INSURANCE COMPANY | $1K | — | $1K | 8.31% |
| GARY J ALTOBELLI3 | 101 BURR EIDGE PARKWAY SUITE 206 BURR RIDGE, FL 60527 | DEARBORN LIFE INSURANCE COMPANY | $292 | — | $292 | 1.73% |
| FORESTER BENEFITS MANAGEMENT LLC3 | 1909 PINNACLE POINTE WAY KNOXVILLE, TN 37922 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $390 | $2K | 17.87% |
| J J DOORHY BENEFITS GROUP3 Filed as: J.J. DOORHY BENEFITS GROUP | 101 BURR RIDGE PARKWAY SUITE 206 BURR RIDGE, IL 60527 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $102 | — | $102 | 1.02% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $960 | $248 | $1K | 17.45% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $960 | $248 | $1K | 17.45% |
| FORESTER BENEFITS MANAGEMENT LLC3 Filed as: FORESTER BENEFITS MANAGERMENT LLC | 1909 PINNACLE POINTE WAY KNOXVILLE, TN 37922 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $346 | — | $346 | 5.00% |
| J J DORRHY BENEFITS GROUP3 | 101 BURR RIDGE PARKWAY SUITE 206 BURR RIDGE, IL 60527 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $78 | — | $78 | 1.13% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | BLUECROSS BLUESHEILD OF ILLINOIS | $40K | $2K | $42K | — |
| J J DOORHY BENEFITS GROUP3 | — | BLUECROSS BLUESHEILD OF ILLINOIS | $12K | — | $12K | — |
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 | 135 | 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) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHEILD OF ILLINOIS | 142 | $0 |
| Dental | BLUECROSS BLUESHEILD OF ILLINOIS | 142 | $0 |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 135 | $17K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 135 | $17K |
| Other(3 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 135 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.