| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDLEY GROUP LTD3 | 2015 S ARLINGTON HEIGHTS RD STE 114 ARLINGTON HEIGHTS, IL 600054150 | BLUE CROSS BLUE SHIELD | $84K | — | $84K | 2.84% |
| MEDLEY GROUP LTD | 61 SALT CREEK RD ROSELLE, IL 60172 | FIDELITY SECURITY LIFE INSURANCE CO. | $5K | — | $5K | 4.05% |
| MEDLEY GROUP LTD | 1503 TRENTON LANE BARTLETT, IL 60103 | FIDELITY SECURITY LIFE INSURANCE CO. | $357 | — | $357 | 0.30% |
| MEDLEY GROUP LTD3 | 2015 S ARLINGTON HEIGHTS RD STE 114 ARLINGTON HEIGHTS, IL 600054150 | AETNA | $5K | — | $5K | 6.42% |
| MEDLEY GROUP LTD Filed as: THE MEDLEY GROUP LLC | 61 SALT CREEK RD ROSELLE, IL 60172 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| JESSICA CRUZ EIN 36-4250648 EMPLOYEE | Employee (plan) Service code 30 | — | $84K |
| SECURITY PROGRAMS INC NONE | Consulting (general) Service code 16 | 2015 S ARLINGTON HEIGHTS RD.STE 114 ARLINGTON HEIGHTS, IL 60005 | $18K |
| LAW OFFICE OF JOSEPH GLIMCO BROTHER OF UNION TRUSTEE | Legal Service code 29 | 8340 LEMONT RD., BLDG F DARIEN, IL 60561 | $12K |
| CALIBRE CPA GROUP EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $7K |
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 | 1,724 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,724 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 532 | $3.0M |
| Dental | AETNA | 291 | $75K |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO. | 1,724 | $118K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 302 | $17K |
| Other(2 contracts, 2 carriers) | AETNA | 302 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,724 | — |
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.