| 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 | $494 | $29K | $29K | 3.13% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 14.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 8.65% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $469 | $4K | 15.24% |
| CHRISTOPHER RYAN CORDON3 | 1080 BLACKHAWK DRIVE ELGIN, IL 60120 | AFLAC | $1K | — | $1K | 7.09% |
| JASON A ROBERTS3 | 1116 NORTH NORTHWEST HIGHWAY APARTMENT 2 PARK RIDGE, IL 60068 | AFLAC | $276 | — | $276 | 1.84% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | AFLAC | $158 | — | $158 | 1.05% |
| ZACHARY J ELLIOTT3 | 377 EAST BUTTERFIELD ROAD SUITE 210 LOMBARD, IL 60148 | AFLAC | $150 | — | $150 | 1.00% |
| DANIEL E ELLIS3 | 377 EAST VUTTERFIELD ROAD SUITE 210 KIMBARD, IL 60148 | AFLAC | $79 | — | $79 | 0.53% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $56 | — | $56 | 0.37% |
| JEFFREY LYNN LAMBERT3 | 7 CENTER STREET HINSDALE, IL 60521 | AFLAC | $50 | — | $50 | 0.33% |
| MARK D BARBIER3 | 23 CROYDON LANE OAK BROOK, IL 60523 | AFLAC | $29 | — | $29 | 0.19% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | AFLAC | $19 | — | $19 | 0.13% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $19 | — | $19 | 0.13% |
| MICHAEL RAY ROBINS3 | 3909 SUNDEW COURT PLANO, TX 75093 | AFLAC | $18 | — | $18 | 0.12% |
| JENNIFER R GLASSBERG3 | 307 LIVE OAK LANE BOYNTON BEACH, FL 33436 | AFLAC | $8 | — | $8 | 0.05% |
| SHARYL K BATHE3 | 620 ODD FELLOW ROAD MATTOON, IL 61938 | AFLAC | $8 | — | $8 | 0.05% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | 402 NORTH MAIN STREET BENTON, IL 62812 | AFLAC | $5 | — | $5 | 0.03% |
| SANTIAGO & ASSOCIATES LLC3 | 950 WEST NORTON AVENUE SUITE 201 MUSKEGON, MI 49441 | AFLAC | $3 | — | $3 | 0.02% |
| JASON HOFFARD6 | 3415 OFFICE PARK DRIVE SUITE C MARION, IL 62959 | AFLAC | $1 | — | $1 | 0.01% |
| MARTHA MONCKTON3 | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTOPHER RYAN CORDON3 | 1080 BLACKHAWK DRIVE ELGIN, IL 60120 | AFLAC | $429 | $37 | $466 | 5.12% |
| JENNIFER R GLASSBERG3 | 307 LIVE OAK LANE BOYNTON BEACH, FL 33436 | AFLAC | $153 | — | $153 | 1.68% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | AFLAC | $120 | — | $120 | 1.32% |
| JASON A ROBERTS3 | 1116 NORTH NORTHWEST HIGHWAY APARTMENT 2 PARK RIDGE, IL 60068 | AFLAC | $88 | — | $88 | 0.97% |
| SANTIAGO & ASSOCIATES LLC3 | 950 WEST NORTON AVENUE SUITE 201 MUSKEGON, MI 49441 | AFLAC | $50 | — | $50 | 0.55% |
| ANGELA R SCHIEK3 | 953 WILLOW LANE SLEEPY HOLLOW, IL 60118 | AFLAC | $33 | — | $33 | 0.36% |
| MARK D BARBIER3 | 23 CROYDON LANE OAK BROOK, IL 60523 | AFLAC | $29 | — | $29 | 0.32% |
| DANIEL E ELLIS3 | 377 EAST BUTTERFIELD ROAD SUITE 210 LOMBARD, IL 60148 | AFLAC | $25 | — | $25 | 0.27% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | AFLAC | $15 | — | $15 | 0.16% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $15 | — | $15 | 0.16% |
| JEFFREY LYNN LAMBERT3 | 7 CENTER STREET HINSDALE, IL 60521 | AFLAC | $7 | — | $7 | 0.08% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $5 | — | $5 | 0.05% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $149 | $1K | 17.06% |
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 | 112 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 136 | $939K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 91 | $34K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 136 | $939K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 117 | $31K |
| Short-term disability(2 contracts) | AFLAC | 18 | $24K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 117 | $24K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 117 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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.