| 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 | $47K | — | $47K | 15.00% |
| BENEFIT ADVISORS SERVICES GROUP LLC5 Filed as: BENEFIT ADVISORS SERVICES GRP, LLC | PO BOX 675236 DETROIT, MI 482675236 | HCC LIFE INSURANCE COMPANY | $16K | — | $16K | 5.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF IL EIN 36-1236610 NONE | Other insurance fees and expenses; Claims processing Service code 12 | — | $1.1M |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Contract Administrator; Claims processing Service code 12 | — | $1.1M |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $158K |
| DIANA MASLANKA EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $155K |
| PATRICK LUDVIGSEN EIN 36-2145881 EMPLOYEE | Employee (plan); Plan Administrator Service code 14 | — | $153K |
| BRIDGEWAY BENEFIT TECHNOLOGY EIN 52-1796473 NONE | Other commissions; Other services Service code 49 | — | $144K |
| MORGAN LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal Service code 29 | — | $142K |
| ROSE CASSARA EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $113K |
| TAMMY NICOLINI EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $111K |
| VALENZ CARE EIN 36-4869660 NONE | Other services Service code 49 | — | $102K |
| ALICE PRIEBE EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $99K |
| MARY BONNER EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $86K |
| GREGORIO, STEC, KLEIN & HOSE EIN 36-4028033 NONE | Legal Service code 29 | — | $84K |
| JANET NEWMAN EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $83K |
| DELTA DENTAL OF IL EIN 36-2612058 NONE | Contract Administrator; Claims processing Service code 12 | — | $81K |
| JAMES FEINBERG EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $78K |
| ZELIS PAYMENT HOLDINGS EIN 84-3069529 NONE | Copying and duplicating; Other services Service code 36 | — | $69K |
| DONNA PARZYNSKI EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| MARQUETTE ASSOCIATES INC. EIN 36-3485298 NONE | Consulting (general); Investment advisory (plan) Service code 16 | — | $55K |
| LOOMIS SAYLES TRUST COMPANY EIN 20-8080381 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $53K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $49K |
| NTIVA, INC. EIN 20-2106015 NONE | Other services Service code 49 | — | $48K |
| NATIONAL INVESTMENT SERVICES EIN 84-3937993 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $42K |
| RITA GORMAN EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $42K |
| INTERCONTINENTAL REAL ESTATE CORP EIN 04-2895544 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $40K |
| MAGALY NAVA EIN 36-2145881 EMPLOYEE | Employee (plan) Service code 30 | — | $37K |
| CALIBRE CPA GROUP, PLCC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $21K |
| NEUBERGER BERMAN INV. ADVISORS NONE | Investment management; Soft dollars commissions Service code 28 | 1290 AVENUE OF THE AMERICAS NEW YORK, NY 10104 | $21K |
| BOND BROTHERS EIN 36-2433269 NONE | Copying and duplicating Service code 36 | — | $20K |
| EYEMED VISION CARE EIN 31-1656473 NONE | Claims processing Service code 12 | — | $20K |
| BMO HARRIS EIN 36-2085229 NONE | Custodial (securities); Investment management Service code 19 | — | $18K |
| RICHARD J WOLF AND CO EIN 36-3182363 NONE | Accounting (including auditing) Service code 10 | — | $16K |
| EMPLOYEE RESOURCE SYSTEMS, INC EIN 36-3867645 NONE | Consulting (general) Service code 16 | — | $13K |
| DATAMATION IMAGING SERVICES EIN 36-4303011 NONE | Other services Service code 49 | — | $12K |
| GROUP ADMINISTRATORS, LTD EIN 36-3381052 NONE | Claims processing; Other fees Service code 12 | — | $10K |
| LSV ASSET MANAGEMENT EIN 23-2772200 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $9K |
| BICC SYSTEMS, INC. EIN 36-2852073 NONE | Other services Service code 49 | — | $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 | 2,171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,860 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,031 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 449 | $314K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 449 | — |
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.