| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC | — | UPMC HEALTH OPTIONS | $15K | — | $15K | 2.65% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC | — | UPMC HEALTH OPTIONS | $2K | — | $2K | 1.86% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $939 | $3K | 17.84% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC DBA | 353 NORTH CLARK STREET FLOOR 11 CHICAGO, IL 60654 | PRINCIPAL LIFE INSURANCE COMPANY | $472 | — | $472 | 2.49% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC | — | UPMC HEALTH BENEFITS | $598 | — | $598 | 7.22% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC | — | UPMC HEALTH BENEFITS | $94 | — | $94 | 6.42% |
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 | 96 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | UPMC HEALTH OPTIONS | 92 | $689K |
| Dental(2 contracts) | UPMC HEALTH BENEFITS | 79 | $10K |
| Vision(2 contracts) | UPMC HEALTH BENEFITS | 79 | $10K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $19K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $19K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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."
No prospect flags tripped on this filing.