| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEONARD T. WRIGHT3 | PO BOX 118 CORUNNA, MI 48817 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $15K | $0 | $15K | 1.32% |
| ANJA HARMON3 | 625 KENMOOR AVENUE, SUITE 2004 GRAND RAPIDS, MI 49546 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | $0 | $8K | 0.67% |
| LEONARD T. WRIGHT3 | PO BOX 118 CORUNNA, MI 48817 | BLUE CARE NETWORK OF MICHIGAN | $4K | $0 | $4K | 1.31% |
| ANJA HARMON3 | 625 KENMOOR AVENUE, SUITE 2004 GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $4K | $0 | $4K | 1.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 40 EAST ALAMAR AVENUE SANTA BARBARA, CA 93105 | AMERITAS LIFE INSURANCE CORP. | $0 | $2K | $2K | 1.72% |
| LEONARD T. WRIGHT3 | PO BOX 118 CORUNNA, MI 48817 | AMERITAS LIFE INSURANCE CORP. | $2K | $0 | $2K | 1.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 625 KENMOOR AVENUE SOUTHEAST SUITE 200 GRAND RAPIDS, MI 49546 | AMERITAS LIFE INSURANCE CORP. | $2K | $0 | $2K | 1.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 16253 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $483 | $4K | 5.95% |
| LEONARD T. WRIGHT3 Filed as: LEONARD WRIGHT | PO BOX 118 CORUNNA, MI 48817 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.80% |
| TODD J STRBIK3 | 1727 NEMOMKE TR #4 HASLETT, MI 48840 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $738 | $5K | 15.43% |
| DEVIN MARK YOUNG3 | 1108 STATE STREET OWOSSO, MH 48867 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 9.79% |
| WILLIAM OLIVER LAMB3 | 9404 PINEVIEW COURT DAVISON, MI 48423 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $665 | $2K | 7.47% |
| PATRICK JAMES MALAK3 | 8350 BYRON CENTER AVENUE SOUTHWEST BRYON CENTER, MI 49315 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $729 | $947 | $2K | 5.51% |
| LEONARD T. WRIGHT3 Filed as: LEONARD THOMAS WRIGHT | PO BOX 118 CORUNNA, MI 48817 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 4.25% |
| MARK H YOUNG3 | 1890 MAPLESHADE DRIVE WILLIAMSTON, MI 48895 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $941 | $0 | $941 | 3.09% |
| MJ INSURANCE3 Filed as: ZACH SINGER AND VARIOUS AGENTS | 7121 LOCKLIN WEST BLOOMFIELD, MI 48324 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $726 | $26 | $752 | 2.47% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD CHICAGO, IL 60604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 11.09% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LIMITED. | 55 EAST JACKSON BOULEVARD CHICAGO, IL 60604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $309 | $0 | $309 | 1.44% |
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 | 181 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 311 | $1.5M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 246 | $111K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 246 | $111K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 275 | $89K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 275 | $89K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 275 | $89K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 311 | $1.5M |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 275 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 311 | — |
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."
No prospect flags tripped on this filing.