| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST CHICAGO, IL 60654 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $108K | $9K | $117K | 1.48% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK STREET CHICAGO, IL 60654 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $79K | — | $79K | 8.01% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | — | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $8K | $8K | 0.85% |
| TRACY L HOSTLER3 Filed as: TRACY HINRICHS | 7182 LIBERTY CENTRE DR WEST CHESTER, OH 45069 | CONTINENTAL AMERICAN INSURANCE COMPANY | $62K | $0 | $62K | 18.73% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19K | $0 | $19K | 5.63% |
| ALPER SERVICES LLC3 | 410 N MICHIGAN AVE 12TH FLR CHICAGO, IL 60611 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 1.22% |
| ALPER SERVICES LLC3 | 410 N MICHIGAN AVE CHICAGO, IL 60611 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $7K | $0 | $7K | 6.53% |
| DAVID A PEARRE3 Filed as: DAVID PEARRE II | 101 WAUKEGAN RD STE 990 LAKE BLUFF, IL 60044 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $915 | $0 | $915 | 0.90% |
| PETER H HOOPIS3 | 300 S WACKER DR STE 2000 CHICAGO, IL 60606 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $136 | $558 | $694 | 0.68% |
| STANLEY R DOMINEY3 | 200 W FORSYTH ST STE 600 JACKSONVILLE, FL 32202 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $40 | $0 | $40 | 0.04% |
| TRACEY HINRICHS3 | 7182 LIBERTY CENTRE DR WEST CHESTER, OH 45069 | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 3.91% |
| ALPER SERVICES LLC3 | 410 MICHIGAN AVE 12TH FLR CHICAGO, IL 60611 | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | $727 | $0 | $727 | 2.35% |
| TRACY L HOSTLER3 Filed as: TRACY HINRICHS | 7182 LIBERTY CENTRE DR WEST CHESTER, OH 45069 | HUMANA | $1K | $0 | $1K | 5.06% |
| ALPER SERVICES LLC3 | 410 N MICHIGAN AVE 12TH FLR CHICAGO, IL 60611 | HUMANA | $831 | $0 | $831 | 2.99% |
| MESIROW INSURANCE SERVICES INC3 | 353 N CLARK ST CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MESIROW INSURANCE SERVICES INC BROKER | Insurance agents and brokers Service code 22 | 353 N CLARK ST CHICAGO, IL 60654 | $218K |
| TRACEY HINRICHS BROKER | Insurance agents and brokers Service code 22 | 7182 LIBERTY CENTRE DR WEST CHESTER, OH 45069 | $65K |
| PENSION CORPORATION OF AMERICA EIN 31-1136975 CONTRACT ADMIN | Contract Administrator Service code 13 | 2133 LURAY AVE CINCINNATI, OH 45206 | $20K |
| PERSPECTIVES LTD. EIN 36-3444982 CONTRACT ADMIN | Contract Administrator Service code 13 | 20 N CLARK STE 2650 CHICAGO, IL 60602 | $13K |
| ALPER SERVICES LLC BROKER | Insurance agents and brokers Service code 22 | 410 N MICHIGAN AVE 12TH FLR CHICAGO, IL 60654 | $12K |
| ALLIANT INSURANCE SERVICES INC BROKER | Insurance agents and brokers Service code 22 | — | $8K |
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 | 1,464 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,464 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 1,464 | $7.9M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,058 | $988K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,058 | $988K |
| Life insurance(4 contracts, 4 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,058 | $1.4M |
| Short-term disability(3 contracts, 3 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,058 | $1.4M |
| Long-term disability(3 contracts, 3 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,058 | $1.4M |
| Other(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 1,464 | $8.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,464 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.