| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INSUR GROUP | 1211 W 22ND ST., STE 820 OAKBROOK, IL 60523 | THE UNION LABOR LIFE INSURANCE COMPANY | $66K | — | $66K | 9.00% |
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION &INS GROUP INC | 1211 W 22ND ST., STE 820 OAKBROOK, IL 60523 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $32K | $10K | $41K | 19.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHEILD OF ILLINOIS EIN 36-1236610 NONE | Non-monetary compensation; Claims processing; Other insurance fees and expenses Service code 12 | — | $1.9M |
| ELITE ADMIN & INSURANCE GROUP, INC. EIN 36-2238689 NONE | Claims processing; Contract Administrator; Other services Service code 12 | — | $641K |
| ROSE FOLLENWEIDER EIN 36-6198426 EMPLOYEE | Employee (plan) Service code 30 | — | $132K |
| MED-CARE MANAGEMENT INC. EIN 88-0429522 NONE | Other services Service code 49 | — | $115K |
| CARRIE GATH EIN 36-6198426 EMPLOYEE | Employee (plan) Service code 30 | — | $104K |
| VERONICA MISTER EIN 36-6198426 EMPLOYEE | Employee (plan) Service code 30 | — | $96K |
| DELTA DENTAL EIN 36-2612058 NONE | Contract Administrator; Claims processing Service code 12 | — | $86K |
| CLAUDIA ERAZO EIN 36-6198426 EMPLOYEE | Employee (plan) Service code 30 | — | $81K |
| MESIROW FINANCIAL INVESTMENT MGT EIN 36-3429599 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $62K |
| BANSLEY AND KEINER, LLP EIN 36-2152389 NONE | Accounting (including auditing) Service code 10 | — | $61K |
| RECOVERY SERVICES, INC. EIN 36-4212536 NONE | Other services Service code 49 | — | $60K |
| LAURA WHITEFORD EIN 36-6198426 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| VISION SERVICE PLAN ILLINOIS EIN 20-0891619 NONE | Contract Administrator; Claims processing Service code 12 | — | $44K |
| SHEILA TAYLOR EIN 36-6198426 EMPLOYEE | Employee (plan) Service code 30 | — | $29K |
| FOSTER AND FOSTER, INC. EIN 59-1921114 NONE | Consulting (general); Actuarial Service code 11 | — | $29K |
| AON HEWITT INVESTMENT CONSULTING EIN 36-3109431 NONE | Investment advisory (plan) Service code 27 | — | $25K |
| CARMELL CHARONE WIDMER MOSS & BARR EIN 36-2738528 NONE | Legal Service code 29 | — | $25K |
| GLOBALCARE INC. EIN 31-1407689 NONE | Other services Service code 49 | — | $21K |
| LAYER 7 SYSTEM, LLC EIN 26-1638894 NONE | Other services Service code 49 | — | $12K |
| US BANK N.A. EIN 31-0841368 NONE | Float revenue; Custodial (securities); Other investment fees and expenses; Soft dollars commissions Service code 19 | — | $9K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Trustee (bank, trust company, or similar financial institution); Account maintenance fees; Float revenue; Other fees Service code 21 | — | $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 | 4,221 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,221 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 4,154 | $214K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 4,221 | $730K |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 4,154 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,221 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.