| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE | 353 N. CLARK ST. STE 1100 CHICAGO, IL 60610 | CIGNA GROUP INSURANCE | $7K | $0 | $7K | 5.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE | 353 N. CLARK ST. STE 1100 CHICAGO, IL 60610 | CIGNA GROUP INSURANCE | $3K | $0 | $3K | 5.00% |
| MESIROW INSURANCE SERVICES INC Filed as: MESIROW INSURANCE SERVICES | 353 N. CLARK ST. CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.86% |
| THERESA REDDING | 71 COUNTRY CLUB HILLS BLOOMINGDALE, IL 60108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.28% |
| COURTNEY YURCZYK | 1601 W. 55TH ST. LA GRANGE, IL 60525 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.09% |
| MICHAEL YURCZYK | 111 W. JACKSON BLVD. 17TH FLOOR CHICAGO, IL 60604 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 1.95% |
| VICKI L CIGER Filed as: VICKI CIGER | 1507 BALTZ DRIVE JOLIET, IL 60431 | CONTINENTAL AMERICAN INSURANCE COMPANY | $377 | $0 | $377 | 0.72% |
| MARK D BARBIER Filed as: MARK BARBIER | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | CONTINENTAL AMERICAN INSURANCE COMPANY | $291 | $0 | $291 | 0.56% |
| TODD DEVOSS | 321 N. CLARK ST. STE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $112 | $0 | $112 | 0.22% |
| VICKI L CIGER Filed as: VICKI CIGER | 4020 OAK TREE LANE PLAINFIELD, IL 60586 | CONTINENTAL AMERICAN INSURANCE COMPANY | $109 | $0 | $109 | 0.21% |
| JOSEPH P CALARCO Filed as: JOSEPH NASCA | 28081 W. MAPLE AVE. BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $99 | $0 | $99 | 0.19% |
| RUSSELL NOWAK | 8009 VALLEY DRIVE PALOS HILLS, IL 60465 | CONTINENTAL AMERICAN INSURANCE COMPANY | $88 | $0 | $88 | 0.17% |
| TREVOR FENNELL | 133 W. 22ND ST. NEW YORK, NY 10011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $65 | $0 | $65 | 0.12% |
| JOHNSON SCHAFF | 2124 WASHINGTON AVE. WILMETTE, IL 60091 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | $0 | $31 | 0.06% |
| MICHAEL C WALKER Filed as: MICHAEL PETERS | 4415 WEST HARRISON ST HILLSIDE, IL 60162 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | $0 | $24 | 0.05% |
| H J SAMAAN INC Filed as: HJ SAMAAN INC | 19W152 21ST PLACE LOMBARD, IL 60148 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | $0 | $14 | 0.03% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE | 353 N. CLARK ST. STE 1100 CHICAGO, IL 60610 | CIGNA GROUP LIFE INSURANCE | $495 | $0 | $495 | 5.00% |
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 | 682 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 682 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | CIGNA GROUP INSURANCE | 682 | $138K |
| Short-term disability | CIGNA GROUP LIFE INSURANCE | 682 | $10K |
| Long-term disability | CIGNA GROUP INSURANCE | 551 | $53K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 98 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 682 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.