| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INS GROUP | 1211 W. 22ND ST SUITE 820 OAK BROOK, IL 605233223 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $5K | $6K | $11K | 11.58% |
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INS GROUP | 1211 W. 22ND ST SUITE 820 OAK BROOK, IL 605233223 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $404 | $616 | $1K | 12.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Non-monetary compensation; Claims processing; Other insurance fees and expenses Service code 12 | — | $802K |
| MEDICAL INSURANCE CONSULTING GROUP EIN 36-3800520 NONE | Consulting (general) Service code 16 | — | $172K |
| THE SEGAL COMPANY (MIDWEST), INC. EIN 13-1975125 NONE | Consulting (general); Actuarial Service code 11 | — | $150K |
| WELLDYNERX, LLC EIN 84-1515837 NONE | Claims processing; Contract Administrator Service code 12 | — | $145K |
| CHRISTINE KLUK CAPONIGRI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $115K |
| SUSAN SCHMIDT EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $104K |
| DIANA MASLANKA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $100K |
| DEBORAH WILLIAMS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $91K |
| ROBERT NIKSA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $89K |
| RIZAL PAHATI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $89K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $86K |
| CAROL ETHERIDGE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $79K |
| WENDY BURKE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $75K |
| DIANA MAGNUSKI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| JACQUELINE PETROVICH EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| MARGI DEVOE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $71K |
| ELIZABETH ROLON EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $71K |
| CASSANDRA LEWIS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| KATHLEEN TUFFNER EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $67K |
| RICHARD BURGESS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $66K |
| DEBRA KUENSTLE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| JOHN KLOSTERMANN EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| GEORGE LITAS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| THOMAS PASCO EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| REINHART BOERNER VAN DEUREN, SC EIN 39-1126909 NONE | Legal Service code 29 | — | $59K |
| CHRISTINE STRONG EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $57K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC EIN 23-2182079 NONE | Other services Service code 49 | — | $51K |
| ANGELA RAMIREZ EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| PATRICIA ZEPEDA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| ZORAIDA RIOS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| DAVID MINEAU EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| TERESA REMO EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| LINDA BENO EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $40K |
| LORENZO GARCIA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $39K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $39K |
| LAURA MADAJ EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $38K |
| CAROLYN PTASINSKI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $33K |
| JOSE MARTINEZ EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $33K |
| DENTAL NETWORK OF AMERICA, LLC EIN 36-3339483 NONE | Claims processing Service code 12 | — | $18K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Soft dollars commissions; Custodial (securities); Account maintenance fees Service code 19 | — | $14K |
| THE KARMEL LAW FIRM EIN 20-4035194 NONE | Legal Service code 29 | — | $11K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Consulting (general); Investment advisory (plan) Service code 16 | — | $10K |
| HUNT INSURANCE AGENCY, INC. EIN 36-2730032 NONE | Other commissions Service code 55 | — | $0 |
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 | 1,953 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,953 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 1,932 | $103K |
| Short-term disability(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 1,932 | $103K |
| Other(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 1,932 | $103K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,932 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.