| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 NORTH CLARK ST CHICAGO, IL 60654 | BLUECROSS BLUESHIELD OF ILLINOIS | $56K | $10K | $66K | 1.06% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SVCS, INC. | 353 N CLARK ST CHICAGO, IL 60654 | KAISER FOUNDATION HEALTH PLAN | $12K | — | $12K | 3.77% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INS SRVCS INC | 353 NORTH CLARK ST CHICAGO, IL 60654 | STANDARD INSURANCE COMPANY | $23K | — | $23K | 15.04% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INS SRVCS INC | 353 NORTH CLARK ST CHICAGO, IL 60654 | STANDARD INSURANCE COMPANY | $20K | — | $20K | 15.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INS SVCS INC | 353 NORTH CLARK ST CHICAGO, IL 60654 | STANDARD INSURANCE COMPANY | $16K | — | $16K | 14.86% |
| BRIAN ASHE & ASSOCIATES LTD3 | 1440 MAPLE AVE STE 9B LISLE, IL 60532 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 10.90% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 10.90% |
| BRIAN ASHE & ASSOCIATES LTD3 | 1440 MAPLE AVE STE 9B LISLE, IL 60532 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $636 | — | $636 | 10.52% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $636 | — | $636 | 10.52% |
| BRIAN ASHE & ASSOCIATES LTD3 | 1440 MAPLE AVE STE 9B LISLE, IL 60532 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $152 | — | $152 | 10.01% |
| AGIS NETWORK INC3 | 2122 KRATKY RD ST LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $152 | — | $152 | 10.01% |
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 | 492 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 492 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 1,088 | $6.6M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 1,088 | $6.2M |
| Life insurance | STANDARD INSURANCE COMPANY | 492 | $130K |
| Short-term disability | STANDARD INSURANCE COMPANY | 492 | $151K |
| Long-term disability(4 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 492 | $194K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,088 | — |
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.