| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 353 N. CLARK ST. CHICAGO, IL 60654 | HCC LIFE INSURANCE COMPANY | $22K | — | $22K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF IL EIN 36-1236610 NONE | Other insurance fees and expenses; Claims processing Service code 12 | — | $1.5M |
| MORGAN LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal Service code 29 | — | $191K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Contract Administrator; Claims processing Service code 12 | — | $157K |
| MEDICAL COST MANAGEMENT CORPORATION EIN 36-3445315 NONE | Other services Service code 49 | — | $148K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $143K |
| DIANE MASLANKA EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $133K |
| DONNA PARZYNSKI EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $126K |
| BRENDA DEMING EIN 36-2145881 EMPLOYEE | Plan Administrator; Employee (plan) Service code 14 | — | $106K |
| GREGORIO MARCO EIN 36-4028033 NONE | Legal Service code 29 | — | $105K |
| TAMMY NICOLINI EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $104K |
| ROSE CASSARA EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $103K |
| MARY KERULIS EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $99K |
| DELTA DENTAL OF IL EIN 36-2612058 NONE | Claims processing; Contract Administrator Service code 12 | — | $91K |
| LSV ASSET MANAGEMENT EIN 25-2772200 NONE | Investment management Service code 28 | — | $91K |
| ALICE PRIEBE EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $89K |
| SYLVIA MORENO EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $86K |
| NEUBERGER BERMAN INV. ADVISORS NONE | Investment management Service code 28 | 190 SOUTH LASALLE STREET CHICAGO, IL 60603 | $85K |
| BASYS, LLC EIN 52-1796473 NONE | Other commissions; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 15 | — | $80K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $79K |
| BICC SYSTEMS, INC. EIN 36-2852073 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 15 | — | $74K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Soft dollars commissions; Custodial (securities) Service code 19 | — | $65K |
| MARQUETTE ASSOCIATES INC. EIN 36-3485298 NONE | Consulting (pension); Consulting (general) Service code 16 | — | $55K |
| RED CARD SYSTEMS, LLC EIN 20-5388701 NONE | Copying and duplicating; Other services Service code 36 | — | $51K |
| RITA GORMAN EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $37K |
| 3 POINTS, LLC EIN 01-0558031 NONE | Other services Service code 49 | — | $34K |
| MAGALY NAVA EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $29K |
| SHADIA HERNANDEZ EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $27K |
| EYEMED VISION CARE EIN 31-1656473 NONE | Claims processing Service code 12 | — | $24K |
| EMPLOYEE RESOURCES SYSTEMS, INC EIN 36-3867645 NONE | Consulting (general) Service code 16 | — | $24K |
| MANAGED CARE STAFFERS EIN 36-4411050 NONE | Other services Service code 49 | — | $18K |
| BOND BROTHERS EIN 36-2433269 NONE | Copying and duplicating Service code 36 | — | $18K |
| RICHARD J WOLF AND CO EIN 36-3182363 NONE | Accounting (including auditing) Service code 10 | — | $9K |
| GROUP ADMINISTRATORS, LTD EIN 36-3381052 NONE | Other fees; Claims processing Service code 12 | — | $6K |
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 | 2,580 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,955 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,535 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 436 | $149K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 436 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.