| 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 | $6K | $44K | 8.67% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INSENTIAL DBA SOURCE 1 BENEFITS | 216 S. JEFFERSON CHICAGO, IL 60661 | FIDELITY SECURITY LIFE INSURANCE CO | $3 | — | $3 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Other commissions; Claims processing Service code 12 | — | $155K |
| PROFESSIONAL BENEFIT ADMINISTRATORS EIN 38-3668782 NONE | Claims processing Service code 12 | — | $149K |
| APRIL BOUGIS EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $114K |
| YAMILKA SANTIAGO EIN 36-6598154 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| SHARON SARAGOSA EIN 36-6598154 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| DAWN MCKENDRICK EIN 36-6598154 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| LEGACY PROFESSIONALS, LLP EIN 32-0043599 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $35K |
| UNION INSURANCE GROUP EIN 36-4226088 NONE | Insurance agents and brokers Service code 22 | — | $34K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | — | $33K |
| NATIONAL INVESTMENT SERVICES EIN 84-3937993 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $32K |
| UNIQUE COMPUTING SOLUTIONS EIN 36-4127852 NONE | Consulting (general) Service code 16 | — | $25K |
| NORTHERN TRUST EIN 36-1561860 NONE | Custodial (securities); Investment management fees paid indirectly by plan; Investment management Service code 19 | — | $13K |
| WILLIG, WILLIAMS, AND DAVIDSON EIN 23-2416488 NONE | Legal Service code 29 | — | $11K |
| 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 |
| BERNARD SHERLOCK EIN 36-6598154 NONE | Trustee (individual) 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 | 834 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 32 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 866 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN | 663 | $508K |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO | 1,628 | $50K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 419 | $22K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 419 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,628 | — |
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.