| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEWITT INSURANCE BROKERAGE LLC3 | 100 HALF DAY ROAD LINCOLNSHIRE, IL 60069 | EXCELLUS BLUECROSS BLUESHIELD | $154K | — | $154K | 3.68% |
| KELLEY BENEFITS GROUP, INC.3 | 14975 SANTA LUCIA DRIVE CHARLOTTE, NC 28277 | SUN LIFE ASSURANCE COMPANY OF CANADA | $60K | — | $60K | 2.94% |
| HEWITT INSURANCE BROKERAGE LLC3 | 100 HALF DAY ROAD LINCOLNSHIRE, IL 60069 | MVP HEALTH CARE | $53K | — | $53K | 3.52% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 100 HALF DAY ROAD LINCOLNSHIRE, IL 60069 | BLUE CARE NETWORK OF MICHIGAN | $36K | — | $36K | 4.58% |
| ACTION BENEFITS COMPANY3 Filed as: ACTION BENEFITS | 26533 EVERGREEN ROAD SOUTHFILED, MI 48076 | BLUE CARE NETWORK OF MICHIGAN | $8K | — | $8K | 1.05% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES, ILLINOIS | 29840 NETWORK PLACE CHICAGO, IL 60673 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $35K | $3K | $39K | 16.43% |
| KELLEY BENEFITS GROUP, INC.3 | 14975 SANTA LUCIA DRIVE CHARLOTTE, NC 28277 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $15K | — | $15K | 15.00% |
| KELLEY BENEFITS GROUP, INC.3 | 14975 SANTA LUCIA DRIVE CHARLOTTE, NC 28277 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $6K | — | $6K | 15.00% |
| HEWITT INSURANCE BROKERAGE LLC3 | 100 HALF DAY ROAD LINCOLNSHIRE, IL 60069 | MVP HEALTH CARE | $813 | — | $813 | 3.48% |
No Schedule C service providers reported on this filing.
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 | 3,078 | 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) | 3,115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 3 carriers) | EXCELLUS BLUECROSS BLUESHIELD | 312 | $6.9M |
| Vision(2 contracts) | AETNA LIFE INSURANCE CO. | 4,974 | $541K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,111 | $2.0M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,111 | $2.0M |
| Prescription drug(3 contracts, 2 carriers) | EXCELLUS BLUECROSS BLUESHIELD | 312 | $5.1M |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,078 | $379K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,974 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.