| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES | 353 N CLARK STREET, STE 1200 CHICAGO, IL 60654 | BLUECROSS BLUESHIELD OF ILLINOIS | $105K | $2K | $108K | 3.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW FINANCIAL, INC | 353 NORTH CLARK ST CHICAGO, IL 60654 | HARTFORD LIFE AND ACCIDENT | $38K | $3K | $41K | 17.84% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE | 353 N CLARK STREET, STE 1200 CHICAGO, IL 60654 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 7.50% |
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 | 195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 414 | $3.6M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 175 | $171K |
| Vision | EYE MED | 236 | $14K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 260 | $230K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 260 | $230K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 414 | $3.6M |
| Other(2 contracts) | HARTFORD LIFE AND ACCIDENT | 260 | $280K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 414 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.