| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 NORTH CLARK STREET CHICAGO, IL 60654 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $56K | $1K | $57K | 3.01% |
| JAMES F MORLEY3 | 815 WEST VAN BUREN STREET SUITE 330 CHICAGO, IL 60607 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $19K | $5 | $19K | 0.98% |
| JAMES F MORLEY3 | 815 WEST VAN BUREN STREET SUITE 330 CHICAGO, IL 60607 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.78% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 1.26% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $3K | $2K | $5K | 8.94% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 4.02% |
| JAMES F MORLEY3 Filed as: JAMES F. MORLEY | 815 WEST VAN BUREN STREET SUITE 330 CHICAGO, IL 60607 | STANDARD INSURANCE COMPANY | $733 | — | $733 | 2.68% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 14.49% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW FINANCIAL -CHICAGO IL | 353 NORTH CLARK STREET CHICAGO, IL 60654 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $429 | — | $429 | 4.78% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INS SERVICES -CHICAGO IL | 353 NORTH CLARK STREET #400 CHICAGO, IL 29872 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $299 | — | $299 | 3.33% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW FINANCIAL -CHICAGO IL | 353 NORTH CLARK STREET #4 CHICAGO, IL 60654 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $150 | — | $150 | 1.67% |
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 | 150 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 261 | $1.9M |
| Dental | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 96 | $62K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 145 | $9K |
| Life insurance | STANDARD INSURANCE COMPANY | 150 | $27K |
| Short-term disability | STANDARD INSURANCE COMPANY | 85 | $24K |
| Long-term disability | STANDARD INSURANCE COMPANY | 139 | $99K |
| Other | STANDARD INSURANCE COMPANY | 150 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 261 | — |
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.