| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC(DBA SOURCE 1 BEN) | 206 SOUTH JEFFERSON CHICAGO, IL 60661 | GUARDIAN | $36K | $1K | $38K | 7.69% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL DBA SOURCE 1 BENEFITS | 216 S. JEFFERSON CHICAGO, IL 60661 | FIDELITY SECURITY LIFE INSURANCE CO | $2K | — | $2K | 4.59% |
| INSGROUP INC3 Filed as: ELITE ADMINISTRATION & INS GROUP IN | 1211 W 22ND ST STE 820 OAKBROOK, IL 60523 | DEARBORN NATIONAL LIFE | — | $2K | $2K | 7.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing Service code 12 | — | $165K |
| PROFESSIONAL BENEFIT ADMINISTRATORS EIN 38-3668782 NONE | Claims processing Service code 12 | — | $147K |
| APRIL BOUGIS EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $101K |
| YAMILKA SANTIAGO EIN 36-6598154 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| SHARON SARAGOSA EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| DAWN MCKENDRICK EIN 36-6598154 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $55K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | — | $49K |
| LEGACY PROFESSIONALS, LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $27K |
| NATIONAL INVESTMENT SERVICES EIN 84-3937993 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $26K |
| WILLIG, WILLIAMS, AND DAVIDSON EIN 23-2416488 NONE | Legal Service code 29 | — | $23K |
| BANSLEY & KIENER, LLP EIN 36-2152389 NONE | Accounting (including auditing) Service code 10 | — | $22K |
| NORTHERN TRUST EIN 36-1561860 NONE | Investment management; Custodial (securities) Service code 19 | — | $12K |
| STRATEGIC CAPITAL EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $11K |
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 | 802 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 36 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 838 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | HEALTHCARE SERVICE CORPORATION | 1,016 | $6.1M |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO | 1,641 | $33K |
| Life insurance | DEARBORN NATIONAL LIFE | 403 | $21K |
| Other | DEARBORN NATIONAL LIFE | 403 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,641 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.