| 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 | $4K | $6K | $10K | 13.08% |
| ELITE ADMINISTRATION3 Filed as: ELITE ADMINISTRATION & INS GROUP | 1211 W. 22ND ST SUITE 820 OAK BROOK, IL 605233223 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $279 | $627 | $906 | 16.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS EIN 36-1236610 NONE | Other insurance fees and expenses; Claims processing; Non-monetary compensation Service code 12 | — | $731K |
| MEDICAL INSURANCE CONSULTING GROUP EIN 36-3800520 NONE | Consulting (general) Service code 16 | — | $217K |
| THE SEGAL COMPANY (MIDWEST), INC. EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $146K |
| CHRISTINE KLUK CAPONIGRI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $139K |
| REINHART BOERNER VAN DEUREN, SC EIN 39-1126909 NONE | Legal Service code 29 | — | $122K |
| SUSAN SCHMIDT EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $122K |
| DEBORAH WILLIAMS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $117K |
| WELLDYNERX, LLC EIN 84-1515837 NONE | Claims processing; Contract Administrator Service code 12 | — | $115K |
| RIZAL PAHATI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $113K |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Claims processing; Plan Administrator; Other fees Service code 12 | — | $104K |
| DIANA MAGNUSKI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $92K |
| JACQUELINE PETROVICH EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $92K |
| CAROL ETHERIDGE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $91K |
| MARGI DEVOE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $90K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $87K |
| RICHARD BURGESS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $81K |
| DIANA MASLANKA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $80K |
| KATHLEEN TUFFNER EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $78K |
| CASSANDRA LEWIS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $78K |
| ROBERT NIKSA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| DEBRA KUENSTLE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| JOHN KLOSTERMANN EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| ELIZABETH ROLON EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| WENDY BURKE EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| ANGELA RAMIREZ EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $56K |
| LORENZO GARCIA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| LINDA BENO EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $49K |
| TERESA REMO EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| PATRICIA ZEPEDA EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $47K |
| DAVID MINEAU EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| JOSE MARTINEZ EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| CHRISTINE STRONG EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $45K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $42K |
| THOMAS PASCO EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $34K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC EIN 23-2182079 NONE | Other services Service code 49 | — | $33K |
| ZORAIDA RIOS EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $31K |
| CAROLYN PTASINSKI EIN 36-6598490 EMPLOYEE | Employee (plan) Service code 30 | — | $28K |
| THE KARMEL LAW FIRM EIN 20-4035194 NONE | Legal Service code 29 | — | $22K |
| DENTAL NETWORK OF AMERICA, LLC EIN 36-3339483 NONE | Claims processing Service code 12 | — | $15K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Consulting (general) Service code 16 | — | $11K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Soft dollars commissions; Custodial (securities); Account maintenance fees Service code 19 | — | $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 | 1,215 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,215 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 602 | $82K |
| Short-term disability(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 602 | $82K |
| Other(2 contracts) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 602 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 602 | — |
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.