| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MASSACHUSETTS INC. | 3 COPLEY PLACE BOSTON, MA 02116 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | — | $22K | $22K | 0.40% |
| PAUL STANLEY JR3 Filed as: PAUL STANLEY | 186 KING GEORGE ST DANIEL ISLAND, SC 29492 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $374K | $104K | $478K | 12.53% |
| NATIONAL INSURANCE MARKETS INC3 Filed as: NATIONAL INSURANCE MARKETS INC. | 915 SAXONBURG BLVD, STE 217 PITTSBURGH, PA 15223 | HIGHMARK | $53K | — | $53K | 2.81% |
| MICHELE L BOLSER3 Filed as: MICHELE L. BOLSER | PO BOX 2999 FARMINGTON HILLS, MI 48333 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $14K | — | $14K | 2.29% |
| VALENTI TROBEC CHANDLER, INC.3 Filed as: VALENTI, TROBEC, CHANDLER, SCHURR | 1175 W. LONG LAKE RD, NO. 200 TROY, MI 48098 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $1K | $1K | 0.20% |
| MICHELE L BOLSER3 Filed as: MICHELE L. BOLSER | PO BOX 2999 FARMINGTON HILLS, MI 48333 | BLUE CARE NETWORK OF MICHIGAN | $15K | — | $15K | 2.87% |
| VALENTI TROBEC CHANDLER, INC.3 Filed as: VALENTI, TROBEC, CHANDLER, SCHURR | 1175 W. LONG LAKE ROAD, SUITE 200 TROY, MI 48098 | BLUE CARE NETWORK OF MICHIGAN | — | $851 | $851 | 0.17% |
| PAUL STANLEY JR3 Filed as: PAUL STANLEY | 186 KING GEORGE ST DANIEL ISLAND, SC 29492 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $29K | $6K | $35K | 15.80% |
| TFB GROUP SERVICES LLC3 Filed as: TFB GROUP SERVICES, LLC | 4801 W. 110TH ST, STE 200 OVERLAND PARK, KS 66211 | BLUE CROSS AND BLUE SHIELD OF KANSAS CITY | $1K | — | $1K | 1.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK, INC. | PO BOX 4557 NEW YORK, NY 10249 | HEALTHNOW NEW YORK, INC. DBA BLUECROSS BLUE SHIELD OF WESTERN NEW YORK | $1K | — | $1K | 1.82% |
| PAUL STANLEY JR3 Filed as: PAUL STANLEY | 186 KING GEORGE ST DANIEL ISLAND, SC 29492 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $871 | $4K | 12.93% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC. | 1 WORLD FINANCIAL CENTER 200 LIBERTY ST, 6TH FLOOR NEW YORK, NY 10281 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $99 | $99 | 1.58% |
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 | 13,737 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 57 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 228 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 14,022 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 8 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 623 | $11.2M |
| Dental(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 13,055 | $3.8M |
| Vision(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 13,055 | $3.8M |
| Life insurance(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 13,055 | $4.0M |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 382 | $219K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 382 | $219K |
| Prescription drug(5 contracts, 5 carriers) | HIGHMARK | 306 | $4.8M |
| Other(4 contracts, 4 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 13,055 | $5.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,055 | — |
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.