No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ADVOCATE ILLINOIS MASONIC MED GROUP EIN 36-2169147 NONE | Other services Service code 49 | — | $408K |
| ESTRELLA MATYAS, MD EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $275K |
| HARVARD MAINTENANCE, INC. EIN 13-1954860 NONE | Other services Service code 49 | — | $270K |
| STANISLAW BANAS, MD EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $265K |
| WALTER KOZIN EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $247K |
| MARK SIMON EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $216K |
| MAREK MROCZKA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $204K |
| MYROSLAW DYCHIY, DDS EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $196K |
| STEVEN HAMMER EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $193K |
| KENNETH BOYD EIN 36-2139906 EMPLOYEE | Employee (plan); Consulting (general) Service code 16 | — | $176K |
| RENATA STRZALKA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $174K |
| MARIA HERNANDEZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $169K |
| LASALLE CONSULTING PARTNERS, INC. EIN 36-4030449 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $161K |
| RASHMI SHUKLA, DDS EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $157K |
| MORAYMA LARA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $140K |
| ANITA PEACHEY EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $134K |
| SILVIA CRUZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $126K |
| MONICA NAPOLI EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $122K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $122K |
| LAKE SHORE FOOT & ANKLE, PC EIN 36-4485069 NONE | Other services Service code 49 | — | $119K |
| SYED BASEER, MD EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $117K |
| LISA BANK EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $114K |
| GLORIA REDONDO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $111K |
| SANDRA MEJIA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $109K |
| DR. MUKESH JAIN EIN 36-3326077 NONE | Other services Service code 49 | — | $106K |
| SEGALL BRYANT & HAMILL EIN 35-2679129 NONE | Investment management fees paid indirectly by plan; Soft dollars commissions; Investment management fees paid directly by plan Service code 51 | — | $88K |
| BLANCA TOVAR EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $87K |
| WILLIAM DART LLC EIN 01-0944164 NONE | Legal Service code 29 | — | $81K |
| YOLANDA DIAZ EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $81K |
| ZOFIA BANASIAK EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $80K |
| TONI MCGEE EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $80K |
| FABIOLA MONTERO SERRANO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $77K |
| WILLIE CARROLL EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $77K |
| SANDRA BOSQUE EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $77K |
| ISRAEL RIVERA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $76K |
| NANCY REY EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| KENIA TOLEDO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| MARIBEL AVILA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $72K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $71K |
| CLAUDIA SANDOVAL EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| ERNESTINA ORTEGA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| HECTOR ACEVES EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| STEVEN MCNULTY EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $67K |
| MICHAEL NEAL EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $66K |
| ROSALIA CASTILLO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $66K |
| HILDA PINEDA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $65K |
| KARINA PANTOJA EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| JOBA SAUCEDO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| ADRIANA PRADO EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| MARIBEL VALLE EIN 36-2139906 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
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 | 4,080 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,080 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AURORA DENTRIX | 130 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.