| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 1500 SOUTH LAKESIDE DRIVE BONNOCKBURN, IA 60015 | BLUE SHIELD OF CALIFORNIA | — | $2K | $2K | 0.34% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC | 353 NORTH CLARK STREET # 305 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11K | — | $11K | 7.59% |
| ROCKWELL & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 2.28% |
| JV FLORIDA INSURANCE CORP3 Filed as: JV FLORIDA INSURANCECORP | 2821 NORTH OCEAN BOULEVARD SUITE 305 FT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.78% |
| 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 | $356 | — | $356 | 0.25% |
| NIKERINA INC3 | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $320 | — | $320 | 0.23% |
| KEITH DOWNS3 | 1216 WEST GRAND CHICAGO, IL 60642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $315 | — | $315 | 0.22% |
| ANNA ELIZABETH INC3 | 2821 NORTH OCEAN BOULEVARD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $232 | — | $232 | 0.17% |
| BENJAMIN T KINSEL3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $220 | — | $220 | 0.16% |
| DANIEL A MARINEZ3 | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $208 | — | $208 | 0.15% |
| KRISTI L HARSHBARGER3 | 545 WEST BROMPTON CHICAGO, IL 60657 | CONTINENTAL AMERICAN INSURANCE COMPANY | $171 | — | $171 | 0.12% |
| HELENE HENDRICKSON3 Filed as: HELENE HENDRICKERSON | 1658 CAMDEN AVENUE APPARTMENT 108 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $166 | — | $166 | 0.12% |
| JORDAN C TRIEMSTRA3 | 1142 EAST EAGLE LAKE ROAD BEECHER, IL 60401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $138 | — | $138 | 0.10% |
| HECTOR MARTINEZ3 Filed as: HECTOR F SANCHEZ CASTRO | 16106 WAUSAU AVENUE SOUTH HOLLAND, IL 60473 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | — | $56 | 0.04% |
| MATTHEW J LE ANELLI3 Filed as: MATTHEW J LEANELLI | 1411 WEST SUPERIOR STREET #3 CHICAGO, IL 60642 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.02% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | $6K | $21K | 15.89% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 4.36% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | VISION SERVICE PLAN | $5K | — | $5K | 9.17% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 4.48% |
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 | 695 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 699 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 47 | $702K |
| Vision | VISION SERVICE PLAN | 478 | $54K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 719 | $211K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $53K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 47 | $702K |
| Other(4 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 814 | $351K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 814 | — |
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.