| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INS GROUP | 1300 W. HIGGINS SUITE 208 PARK RIDGE, IL 60068 | GERBER LIFE INSURANCE COMPANY | $53K | — | $53K | 2.80% |
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INS GROUP | 1211 W. 22ND STREET, STE 820 OAK BROOK, IL 60523 | METROPOLITAN LIFE INSURANCE COMPANY | $53K | — | $53K | 5.00% |
| BSP GROUP BENEFITS INC3 Filed as: BSP GROUP BENEFITS INC. | 206 S. JEFFERSON, SUITE 200 CHICAGO, IL 60661 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | — | $11K | 1.00% |
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INS GROUP | 1211 W. 22ND STREET, STE 820 OAK BROOK, IL 60523 | DEARBORN LIFE INSURANCE COMPANY | $41K | $10K | $51K | 12.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MARATHON HEALTH EIN 83-0674262 NONE | Other services Service code 49 | — | $3.1M |
| HEALTH CARE SERVICE CORPORATION EIN 36-1236610 NONE | Claims processing; Other fees Service code 12 | — | $2.1M |
| ELITE ADMINISTRATION & INSURANCE EIN 36-2238689 NONE | Insurance agents and brokers; Other insurance fees and expenses; Claims processing; Insurance brokerage commissions and fees Service code 12 | — | $1.1M |
| PAYDHEALTH EIN 84-2853707 NONE | Other services Service code 49 | — | $389K |
| R. LAINO EIN 36-6102397 ADMINISTRATOR | Employee (plan) Service code 30 | — | $187K |
| S. JOHNSON EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $184K |
| J. MARTINEZ EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $175K |
| C. LAINO EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $173K |
| B. RODRIGUEZ EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $164K |
| T. MARINO EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $161K |
| VIVEKA HEALTH, INC. EIN 86-2467157 NONE | Other services Service code 49 | — | $160K |
| CTM LEGAL GROUP EIN 46-1047517 OWNER IS BRO. OF TRUSTEE | Legal Service code 29 | — | $160K |
| M. PRYOR EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $158K |
| NATIONAL INVESTMENT SERVICES EIN 84-3937993 NONE | Investment management Service code 28 | — | $158K |
| L. CRUZ EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $157K |
| S. BRULL EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $153K |
| Z. FRANKENBACH EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $152K |
| B. AFFETTO EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $144K |
| VALENZ CARE EIN 36-4869660 NONE | Other services Service code 49 | — | $112K |
| A. JOZWICKI EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $110K |
| DELTA DENTAL OF ILLINOIS EIN 36-2612058 NONE | Other services Service code 49 | — | $97K |
| C. JACOBAZZI EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| G. SHAMOON EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $59K |
| WILLIG, WILLIAMS & DAVIDSON EIN 23-2416488 NONE | Legal Service code 29 | — | $53K |
| FOSTER AND FOSTER EIN 59-1921114 NONE | Actuarial Service code 11 | — | $52K |
| R. CLANCY EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| V. NAPLES EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $43K |
| B. MARTINEZ EIN 36-6102397 EMPLOYEE | Employee (plan) Service code 30 | — | $41K |
| G. YOUMANS EIN 36-6069119 TRUSTEE | Trustee (individual); Consulting (general) Service code 16 | — | $41K |
| BUCK GLOBAL EIN 83-1116912 NONE | Other services Service code 49 | — | $40K |
| C. TOMINBERG EIN 36-6069119 TRUSTEE | Consulting (general); Trustee (individual) Service code 16 | — | $31K |
| COMERICA EIN 42-1741646 NONE | Shareholder servicing fees; Custodial (securities); Float revenue; Other services; Custodial (other than securities); Investment management Service code 18 | — | $24K |
| STRATEGIC CAPITAL EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $20K |
| ENGBERG ANDERSON EIN 39-1601532 NONE | Other services Service code 49 | — | $17K |
| THE HORTON GROUP EIN 36-3672171 NONE | Actuarial Service code 11 | — | $16K |
| AMALGAMATED BANK EIN 36-0721895 NONE | Account maintenance fees; Investment management; Float revenue; Custodial (securities); Direct payment from the plan Service code 19 | — | $14K |
| MR. MICROCHIP EIN 59-3084068 NONE | Other services Service code 49 | — | $14K |
| SOMMERS AND FAHRENBACH EIN 36-1796440 NONE | Copying and duplicating Service code 36 | — | $12K |
| K-PLUS TECHNOLOGY SOLUTIONS EIN 36-4282001 NONE | Other services Service code 49 | — | $8K |
| J. COLI JR. EIN 36-6069119 TRUSTEE | Trustee (individual); Other services Service code 20 | — | $6K |
| C. CARTER-PATTON EIN 36-6069119 TRUSTEE | Trustee (individual); Other services Service code 20 | — | $6K |
| N. MICALETTI EIN 36-6069119 TRUSTEE | Other services; Trustee (individual) Service code 20 | — | $5K |
| M. DEGARD EIN 36-6069119 TRUSTEE | Trustee (individual); Other services Service code 20 | — | $5K |
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 | 4,613 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,624 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 8,875 | $1.1M |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 3,968 | $410K |
| Stop-loss / reinsurancereinsurance | GERBER LIFE INSURANCE COMPANY | 3,628 | $1.9M |
| Other | DEARBORN LIFE INSURANCE COMPANY | 3,968 | $410K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,875 | — |
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."
No prospect flags tripped on this filing.