No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HARVARD MAINTENANCE, INC. EIN 13-1954860 NONE | Other services Service code 49 | — | $268K |
| STANISLAW BANAS, MD EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $239K |
| WALTER KOZIN EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $234K |
| ESTRELLA MATYAS, MD EIN 36-2139906 EMPLOYEE | Non-monetary compensation; Employee (plan) Service code 30 | — | $232K |
| VICTOR MUNOZ, MD EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $231K |
| JESSICA PEREZ-CARDWELL EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $215K |
| ILLINOIS MASONIC MEDICAL CENTER NONE | Other services Service code 49 | 836 W. WELLINGTON CHICAGO, IL 60657 | $210K |
| MAREK MROCZKA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $197K |
| MYROSLAW DYCHIY, DDS EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $190K |
| KENNETH BOYD EIN 36-2139906 EMPLOYEE | Consulting (general); Employee (plan) Service code 16 | — | $175K |
| STEVEN HAMMER EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $172K |
| RENATA STRZALKA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $170K |
| LASALLE CONSULTING PARTNERS, INC. EIN 36-4030449 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $157K |
| MARIA HERNANDEZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $151K |
| RASHMI SHUKLA, DDS EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $148K |
| ADVOCATE ILLINOIS MASONIC MED GROUP EIN 36-2169147 NONE | Other services Service code 49 | — | $147K |
| ANITA PEACHEY EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $127K |
| MORAYMA LARA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $122K |
| SILVIA CRUZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $121K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $117K |
| DR. MUKESH JAIN EIN 36-3326077 NONE | Other services Service code 49 | — | $110K |
| SYED BASEER, MD EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $109K |
| LISA BANK EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $104K |
| ALLAN CITTA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $100K |
| ANN CITTA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $95K |
| LAKE SHORE FOOT & ANKLE, PC EIN 36-4485069 NONE | Other services Service code 49 | — | $93K |
| SANDRA MEJIA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $91K |
| ANNETTA KULESZA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $90K |
| JAG M. CHAWLA, DDS NONE | Other services Service code 49 | 2S615 AVENUE LATOURS OAK BROOK, IL 60523 | $89K |
| BLANCA TOVAR EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $82K |
| YOLANDA DIAZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $76K |
| CAROLYN FITCH EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| TONI MCGEE EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| ZOFIA BANASIAK EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| FABIOLA MONTERO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| SANDRA BOSQUE EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| KENIA TOLEDO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| NANCY REY EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| ISRAEL RIVERA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $67K |
| CLAUDIA SANDOVAL EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $66K |
| ERNESTINA ORTEGA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $65K |
| MARIBEL AVILA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| STEVEN MCNULTY EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| WILLIE CARROLL EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $61K |
| HILDA PINEDA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| ROSALIA CASTILLO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| LORENA NUNEZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $59K |
| ADRIANA PRADO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $58K |
| CARMEN PEREZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $57K |
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 | 3,767 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,767 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AURORA DENTRIX | 144 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.