| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 1500 SOUTH LAKESIDE DRIVE BANNOCKBURN, IL 60015 | BLUE SHIELD OF CALIFORNIA | -$13K | — | -$13K | -2.17% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MEISROW INSURANCE SERVICES, INC. | 353 NORTH CLARK STREET CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15K | — | $15K | 9.49% |
| ROCKWELL & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 4.49% |
| JOHN H VRATSINAS3 | 401 NORTH BIRCH ROAD UNIT 1112 FT LAUDERDALE, FL 33304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 2.83% |
| NASCA & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 1.61% |
| ANNA ELIZABETH INC3 Filed as: ANNA E RECCHIA | 401 NORTH BIRCH ROAD UNITE 1112 FORT LAUDERDALE, FL 33304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.32% |
| ALEXANDER KINSEL3 | 7301 NORTH SHERIDAN ROAD CHICAGO, IL 60626 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.20% |
| NIKERINA INC3 | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.11% |
| KEITH DOWNS3 | 1216 WEST GRAND CHICAGO, IL 60642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.96% |
| BENJAMIN T KINSEL3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.88% |
| DANIEL A MARINEZ3 | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.87% |
| KRISTI L HARSHBARGER3 | 545 WEST BROMPTON CHICAGO, IL 60657 | CONTINENTAL AMERICAN INSURANCE COMPANY | $927 | — | $927 | 0.59% |
| HELENE HENDRICKSON3 | 1658 CAMDEN AVENUE APARTMENT 108 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $812 | — | $812 | 0.51% |
| JORDAN C TRIEMSTRA3 | 1142 EAST EAGLE LAKE ROAD BEECHER, IL 60401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $671 | — | $671 | 0.42% |
| HECTOR MARTINEZ3 Filed as: HECTOR F SANCHEZ CASTRO | 16109 WASUSAU AVENUE SOUTH HOLLAND, IL 60473 | CONTINENTAL AMERICAN INSURANCE COMPANY | $322 | — | $322 | 0.20% |
| MATTHEW J LE ANELLI3 | 1411 WEST SUPERIOR STREET SUITE 3 CHICAGO, IL 60642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $161 | — | $161 | 0.10% |
| MARTIN J LEWIS3 | 900 NORTH KINGSBURY AVENUE CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | $6K | $22K | 20.72% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 5.49% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.33% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | VISION SERVICE PLAN | $3K | — | $3K | 8.36% |
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 | 653 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 17 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 683 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 43 | $608K |
| Vision | VISION SERVICE PLAN | 297 | $35K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 565 | $176K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 179 | $46K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 43 | $608K |
| Other(4 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 724 | $355K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 724 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.