| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN WESTBROOK INS SERVICES LLC3 | 4 WESTBROOK CORPORATION CTR STE 500 WESTCHESTER, IL 601545753 | UNITEDHEALTHCARE INSURANCE COMPANY | $12K | — | $12K | 3.62% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF IL LLC | 4 WESTBROOK CORPORATE CTR STE 500 WESTCHESTER, IL 601545753 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 0.98% |
| ADVANCED INSURANCE SERVICES INC Filed as: ADVANCED INSURANCE AGENCY, INC. | 28341 HOOVER ROAD WARREN, MI 48093 | HEALTH ALLIANCE PLAN | $12K | — | $12K | 5.54% |
| HUNTER BENEFITS GROUP LLC3 Filed as: HUNTER BENEFITS GROUP INC | 10940 S PARKER RD STE 306 PARKER, CO 80134 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 2.63% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE COLORADO | 12404 PARK CENTRAL DR STE 400S DALLAS, TX 75251 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 1.10% |
| NONE | — | BLUE CROSS AND BLUE SHIELD OF ALABAMA | — | — | $0 | 0.00% |
| COAST QUOTES INSURANCE AGENCY, INC3 | PO BOX 4585 MISSION VIEJO, CA 926904585 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 7.12% |
| NONE | — | INDEPENDENCE BLUE CROSS - KEYSTONE | — | — | $0 | 0.00% |
| ACRISURE LLC3 | 28341 HOOVER ROAD WARREN, MI 48093 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | $224 | $1K | 8.44% |
| LUCIDO MORRIS ASSOCIATES, LLC3 | 24255 W 13 MILE ROAD SUITE 250 BINGHAM FARMS, MI 48025 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $22 | — | $22 | 0.14% |
| NONE | — | EXCELLUS BLUE CROSS BLUE SHIELD | — | — | $0 | 0.00% |
| NORTH WOODS CAPITAL BENEFITS LLC3 Filed as: NORTH WOODS CAPITAL BENEFITS L | 1231 DELAWARE AVENUE SUITE 201 BUFFALO, NY 14209 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 9.40% |
| HUNTER BENEFITS GROUP LLC3 | 10940 S PARKER RD STE 306 PARKER, CO 80134 | DELTA DENTAL OF COLORADO | $942 | — | $942 | 10.10% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | DELTA DENTAL OF COLORADO | $377 | — | $377 | 4.04% |
| KUNRATH & WILLARD INSURANCE SERV. L3 | 825 NE 20TH AVE. #320 PORTLAND, OR 97232 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $157 | $3 | $160 | 2.24% |
| COAST QUOTES INSURANCE AGENCY, INC3 Filed as: COAST QUOTES INSURANCE AGENCY | 43 FEATHER RIDGE MISSION VIEJO, CA 92692 | BLUE SHIELD OF CALIFORNIA | $184 | — | $184 | 5.01% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SVC | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | BLUE SHIELD OF CALIFORNIA | $92 | — | $92 | 2.50% |
| COAST QUOTES INSURANCE AGENCY, INC3 | 43 FEATHER RIDGE MISSION VIEJO, CA 92692 | BLUE SHIELD OF CALIFORNIA | $359 | — | $359 | 10.00% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SVC | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | BLUE SHIELD OF CALIFORNIA | $83 | — | $83 | 2.31% |
| UNIVEST INSURANCE INC3 Filed as: UNIVEST INSURANCE, INC. | PO BOX 391 LANSDALE, PA 19446 | DELTA DENTAL - SBA PA | $329 | — | $329 | 9.92% |
| NONE | — | INDEPENDENCE BLUE CROSS - PRESCRIPTION | — | — | $0 | 0.00% |
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 | 85 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 85 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 9 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 65 | $751K |
| Dental(5 contracts, 4 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 22 | $45K |
| Vision | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 8 | $69K |
| Prescription drug(4 contracts, 4 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 10 | $89K |
| Other | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 8 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 65 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.