| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MEISROW INSURANCE SERVICES, INC. | 353 NORTH CLARK STREET CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14K | — | $14K | 8.41% |
| ROCKWELL & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 2.49% |
| JV FLORIDA INSURANCE CORP3 Filed as: JV FLORIDA INSURANCECORP | 2821 NORTH OCEAN BOULEVARD SUITE 305 FT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.10% |
| ANNA ELIZABETH INC3 Filed as: ANNA E RECCHIA | 401 NORTH BIRCH ROAD UNIT 1112 FORT LAUDERDALE, FL 33304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.92% |
| NASCA & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.74% |
| ALEXANDER KINSEL3 | 7301 NORTH SHERIDAN ROAD CHICAGO, IL 60626 | CONTINENTAL AMERICAN INSURANCE COMPANY | $481 | — | $481 | 0.28% |
| NIKERINA INC3 | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $443 | — | $443 | 0.26% |
| KEITH DOWNS3 | 1216 WEST GRAND CHICAGO, IL 60642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $424 | — | $424 | 0.25% |
| BENJAMIN T KINSEL3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $312 | — | $312 | 0.18% |
| DANIEL A MARINEZ3 | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $302 | — | $302 | 0.18% |
| HELENE HENDRICKSON3 | 1658 CAMDEN AVENUE APARTMENT 108 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $230 | — | $230 | 0.14% |
| KRISTI L HARSHBARGER3 | 545 WEST BROMPTON CHICAGO, IL 60657 | CONTINENTAL AMERICAN INSURANCE COMPANY | $228 | — | $228 | 0.13% |
| JORDAN C TRIEMSTRA3 | 1142 EAST EAGLE LAKE ROAD BEECHER, IL 60401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $196 | — | $196 | 0.12% |
| HECTOR MARTINEZ3 Filed as: HECTOR F SANCHEZ CASTRO | 16109 WASUSAU AVENUE SOUTH HOLLAND, IL 60473 | CONTINENTAL AMERICAN INSURANCE COMPANY | $86 | — | $86 | 0.05% |
| MATTHEW J LE ANELLI3 Filed as: MATTHEW J LEANELLI | 1411 WEST SUPERIOR STREET SUITE 3 CHICAGO, IL 60642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | — | $42 | 0.02% |
| MARTIN J LEWIS3 | 900 NORTH KINGSBURY AVENUE CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $7K | $27K | 20.12% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $9K | $9K | 11.20% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $6K | $6K | 11.20% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | VISION SERVICE PLAN | $4K | — | $4K | 7.48% |
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 | 720 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 744 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 44 | $649K |
| Vision | VISION SERVICE PLAN | 456 | $51K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 687 | $217K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 206 | $53K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 44 | $649K |
| Other(4 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 770 | $405K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 770 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.