| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITEDHEALTHCARE INSURANCE COMPANY | $123 | $28K | $28K | 3.07% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $4K | $4K | 0.47% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | $2K | $8K | 18.60% |
| CHRISTOPHER RYAN CORDON3 | 1080 BLACKHAWK DRIVE ELGIN, IL 60120 | AFLAC | $2K | $128 | $2K | 7.74% |
| JASON A ROBERTS3 | 1116 NORTH NORTHWEST HIGHWAY APARTMENT 2 PARK RIDGE, IL 60068 | AFLAC | $413 | — | $413 | 1.63% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | AFLAC | $256 | — | $256 | 1.01% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $188 | $26 | $214 | 0.85% |
| JEFFREY LYNN LAMBERT3 | 7 CENTER STREET HINSDALE, IL 60521 | AFLAC | $172 | $26 | $198 | 0.78% |
| MICHAEL RAY ROBINS3 | 3812 NANTUCKET DRIVE PLANO, TX 75023 | AFLAC | $61 | — | $61 | 0.24% |
| JENNIFER R GLASSBERG3 | 307 LIVE OAK LANE BOYNTON BEACH, FL 33436 | AFLAC | $57 | — | $57 | 0.23% |
| MARK D BARBIER3 | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | AFLAC | $52 | — | $52 | 0.21% |
| SHARYL K BATHE3 | 1816 BROADWAY AVENUE MATTOON, IL 61938 | AFLAC | $44 | — | $44 | 0.17% |
| ELAINE A WRINKLE3 | 404 TICKSEED AVENUE SAVOY, IL 61874 | AFLAC | $34 | — | $34 | 0.13% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | AFLAC | $31 | — | $31 | 0.12% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $31 | — | $31 | 0.12% |
| SANTIAGO & ASSOCIATES LLC3 | 950 WEST NORTON AVENUE SUITE 201 MUSKEGON, MI 49441 | AFLAC | $19 | — | $19 | 0.08% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | 402 NORTH MAIN STREET BENTON, IL 62812 | AFLAC | $19 | — | $19 | 0.08% |
| SHARYL K BATHE3 | 620 ODD FELLOW ROAD MATTOON, IL 61938 | AFLAC | $6 | — | $6 | 0.02% |
| MICHAEL RAY ROBINS3 | 3909 SUNDEW COURT PLANO, TX 75093 | AFLAC | $6 | — | $6 | 0.02% |
| JASON HOFFARD6 | 3415 OFFICE PARK DRIVE SUITE C MARION, IL 62959 | AFLAC | $4 | — | $4 | 0.02% |
| MARTHA MONCKTON3 | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AFLAC | $4 | — | $4 | 0.02% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $439 | $4K | 14.64% |
| CHRISTOPHER RYAN CORDON3 | 1080 BLACKHAWK DRIVE ELGIN, IL 60120 | AFLAC | $843 | $33 | $876 | 7.61% |
| JENNIFER R GLASSBERG3 | 307 LIVE OAK LANE BOYNTON BEACH, FL 33436 | AFLAC | $167 | — | $167 | 1.45% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | AFLAC | $145 | — | $145 | 1.26% |
| JASON A ROBERTS3 | 1116 NORTH NORTHWEST HIGHWAY APARTMENT 2 PARK RIDGE, IL 60068 | AFLAC | $114 | — | $114 | 0.99% |
| SANTIAGO & ASSOCIATES LLC3 | 950 WEST NORTON AVENUE SUITE 201 MUSKEGON, MI 49441 | AFLAC | $55 | — | $55 | 0.48% |
| DANIEL E ELLIS3 | 377 EAST BUTTERFIELD ROAD SUITE 210 LOMBARD, IL 60148 | AFLAC | $41 | — | $41 | 0.36% |
| ANGELA R SCHIEK3 | 953 WILLOW LANE SLEEPY HOLLOW, IL 60118 | AFLAC | $36 | — | $36 | 0.31% |
| MARK D BARBIER3 | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | AFLAC | $36 | — | $36 | 0.31% |
| JEFFREY LYNN LAMBERT3 | 7 CENTER STREET HINSDALE, IL 60521 | AFLAC | $25 | $7 | $32 | 0.28% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $19 | $7 | $26 | 0.23% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | AFLAC | $18 | — | $18 | 0.16% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $18 | — | $18 | 0.16% |
| DANIEL E ELLIS3 | 317 MARKET STREET ROCKFORD, IL 61107 | AFLAC | $5 | — | $5 | 0.04% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $166 | $2K | 17.18% |
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 | 118 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 141 | $922K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 92 | $42K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 141 | $922K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 124 | $35K |
| Short-term disability | AFLAC | 13 | $12K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 124 | $25K |
| Other(4 contracts, 2 carriers) | AFLAC | 124 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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.