| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N CLARK ST CHICAGO, IL 60654 | HEALTH RESOURCES, INC. | $7K | — | $7K | 10.00% |
| LYNN KITSON3 | 58053 CRYSTAL SPRINGS DRIVE GOSHEN, IN 46528 | DELTA DENTAL OF INDIANA | $1K | — | $1K | 2.48% |
| LYNN KITSON3 | 58053 CRYSTAL SPRINGS DR GOSHEN, IN 46528 | VISION SERVICE PLAN | $2K | — | $2K | 4.50% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 NORTH CLARK STREET CHICAGO, IL 60654 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $1K | $5K | 19.81% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 NORTH CLARK STREET CHICAGO, IL 60654 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $534 | $2K | 19.50% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 1500 LAKESIDE DRIVE BANNOCKBURN, IL 60015 | FEDERAL INSURANCE COMPANY | $678 | — | $678 | 14.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GROUP ADMINISTRATORS, LTD. EIN 36-3381052 NONE | Claims processing Service code 12 | 915 NATIONAL PARKWAY STE F SCHAUMBURG, IL 60173 | $72K |
| MESIROW INSURANCE SERVICES EIN 36-3429604 NONE | Insurance agents and brokers Service code 22 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | $67K |
| CIGNA CORPORATION EIN 59-1031071 NONE | Other fees Service code 99 | PO BOX 645014 CINCINNATI, OH 45264 | $4K |
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 | 274 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 274 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HEALTH RESOURCES, INC. | 437 | $112K |
| Vision | VISION SERVICE PLAN | 199 | $35K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 281 | $12K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 274 | $24K |
| Other | FEDERAL INSURANCE COMPANY | 260 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 437 | — |
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.