| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL INC(DBA SOURCE 1 BEN) | 216 SOUTH JEFFERSON CHICAGO, IL 60661 | GUARDIAN | $38K | $7K | $45K | 8.92% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL DBA SOURCE 1 BENEFITS | 216 S. JEFFERSON CHICAGO, IL 60661 | FIDELITY SECURITY LIFE INSURANCE CO | $2K | — | $2K | 3.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL DBA SOURCE 1 BENEFITS | 216 S. JEFFERSON UNIT LL2 CHICAGO, IL 60661 | FIDELITY SECURITY LIFE INSURANCE CO | $215 | — | $215 | 0.42% |
| INSGROUP INC3 Filed as: ELITE ADMINISTRATION & INS GROUP IN | 1211 W 22ND ST STE 820 OAKBROOK, IL 60523 | DEARBORN LIFE INSURANCE COMPANY | — | $1K | $1K | 5.20% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Claims processing Service code 12 | — | $216K |
| PROFESSIONAL BENEFIT ADMINISTRATORS EIN 38-3668782 NONE | Claims processing Service code 12 | — | $145K |
| APRIL BOUGIS EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $106K |
| YAMILKA SANTIAGO EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| SHARON SARAGOSA EIN 36-6598154 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| DAWN MCKENDRICK EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| LEGACY PROFESSIONALS, LLP EIN 32-0043599 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing) Service code 10 | — | $40K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | — | $39K |
| NATIONAL INVESTMENT SERVICES EIN 84-3937993 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $29K |
| UNION INSURANCE GROUP EIN 36-4226088 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $27K |
| WILLIG, WILLIAMS, AND DAVIDSON EIN 23-2416488 NONE | Legal Service code 29 | — | $20K |
| UNIQUE COMPUTING SOLUTIONS EIN 36-4127852 NONE | Consulting (general) Service code 16 | — | $19K |
| NORTHERN TRUST EIN 36-1561860 NONE | Custodial (securities); Investment management Service code 19 | — | $12K |
| STRATEGIC CAPITAL EIN 36-4268991 NONE | Investment advisory (plan) Service code 27 | — | $10K |
| THOMAS DALY EIN 36-6598154 ADMINISTRATOR | Plan Administrator Service code 14 | — | $6K |
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 | 37 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 839 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN | 678 | $505K |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO | 1,644 | $51K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 403 | $21K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 403 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,644 | — |
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.