| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $137K | — | $137K | 1.60% |
| KAMM INSURANCE GROUP3 | 7N024 MEDINAH RD PO BOX 129 MEDINAH, IL 60157 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $12K | $6K | $18K | 0.22% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT/MESIROW INSURANCE SERVICES | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | METLIFE | $6K | $4K | $10K | 1.52% |
| EUCLID INSURANCE SERVICES INC3 | 234 SPRING LAKE DR ITASCA, IL 60143 | METLIFE | $8K | — | $8K | 1.22% |
| KAMM INSURANCE GROUP3 | PO BOX 129 MEDINAH, IL 60157 | METLIFE | $3K | — | $3K | 0.48% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $4K | $11K | 2.12% |
| MYERS-BRIGGS & CO3 | 300 S WACKER DR STE 1000 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 1.15% |
| MYERS-BRIGGS & CO3 | 300 WACKER DRIVE STE 1000 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 6.88% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $906 | $8K | 4.05% |
| KAMM INSURANCE GROUP3 | 300 S WACKER DR STE 100 CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 4.51% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE SOLUTIONS INC. | 120-A GILLIS CREEK PKWY COLUMBIA, SC 29209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $248 | $4K | 3.77% |
| CARUTH, JENNON, M3 Filed as: CARUTH JENNON M | 6400 FYING CLOUD DR STE 215 EDEN PRAIRIE, MN 55344 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $334 | $4K | 3.77% |
| BENEFIT COMMUNICATIONS INC3 | 2977 SIDCO DR NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 1.32% |
| BOUDREAUX, BEAU, DAVID3 Filed as: BOUDREAUX BEAU DAVID | 120-A GILLIS CREEK PKWY COLUMBIA, SC 29209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $529 | — | $529 | 0.46% |
| MORRIS, CHRISTOPHER, ROBERT3 Filed as: MORRIS CHRISTOPHER ROBERT | 2977 SIDCO DR NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $86 | — | $86 | 0.07% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | EYE MED | $9K | — | $9K | 8.46% |
| KAMM INSURANCE GROUP3 | PO BOX 129 MEDINAH, IL 60157 | EYE MED | $5K | — | $5K | 5.15% |
| CARUTH, JENNON, M3 Filed as: CARUTH JENNON M | 6400 FYING CLOUD DR STE 215 EDEN PRAIRIE, MN 55344 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $265 | $5K | 6.74% |
| KAMM INSURANCE GROUP3 | 300 S WACKER DR STE 100 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 5.96% |
| WORKPLACE SOLUTIONS, INC.3 | 120-A GILLIS CREEK PKWY COLUMBIA, SC 29209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $95 | $2K | 2.53% |
| BENEFIT COMMUNICATIONS INC3 | 2977 SIDCO DR NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.58% |
| BOUDREAUX, BEAU, DAVID3 Filed as: BOUDREAUX BEAU DAVID | 120-A GILLIS CRK PKWY COLUMBIA, SC 29209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $214 | — | $214 | 0.31% |
| MORRIS, CHRISTOPHER, ROBERT3 Filed as: MORRIS CHRISTOPHER ROBERT | 2977 SIDCO DR NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $61 | — | $61 | 0.09% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | METLIFE LEGAL PLANS | $2K | $75 | $2K | 9.76% |
| KAMM INSURANCE GROUP3 | PO BOX 129 MEDINAH, IL 60157 | METLIFE LEGAL PLANS | $108 | — | $108 | 0.56% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES INC. | 353 N CLARK STREET STE 400 CHICAGO, IL 60654 | EYE MED - COBRA | $116 | — | $116 | 10.76% |
| KAMM INSURANCE GROUP3 | PO BOX 129 MEDINAH, IL 60157 | EYE MED - COBRA | $26 | — | $26 | 2.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 ADMINISTRATOR | Contract Administrator Service code 13 | 300 EAST RANDOLPH STREET CHICAGO, IL 60601 | $0 |
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 | 1,815 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,815 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 1,815 | $8.6M |
| Dental | METLIFE | 1,862 | $672K |
| Vision(2 contracts, 2 carriers) | EYE MED | 1,897 | $104K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,018 | $778K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,018 | $518K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,018 | $518K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,018 | $652K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,897 | — |
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.