| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 325 NORTH OLD WOODWARD AVENUE SUITE 300 BIRMINGHAM, MI 48009 | BLUECROSS BLUESHIELD OF ILLINOIS | $121K | $30K | $151K | 4.04% |
| LOCKTON COMPANIES, LLC3 | 8110 EAST UNION AVENUE, SUITE 100 DENVER, CO 80237 | HARTFORD LIFE AND ACCIDENT | $8K | $0 | $8K | 2.40% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | HARTFORD LIFE AND ACCIDENT | $0 | $7K | $7K | 2.19% |
| TRACY KATZ LLC4 Filed as: TRACY KATZ, LLC | 1662 EAST MELTON ROAD BIRMINGHAM, MI 48009 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $910 | $0 | $910 | 8.91% |
| LOCKTON COMPANIES, LLC4 | 8110 EAST UNION AVENUE, SUITE 700 DENVER, CO 80237 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $347 | $0 | $347 | 3.40% |
| JILL FEENEY4 | 119 OPTIMIST COURT AUBURN HILLS, MI 48326 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $58 | $0 | $58 | 0.57% |
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 | 327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 11 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 557 | $3.7M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 557 | $3.7M |
| Vision | BLUECROSS BLUESHIELD OF ILLINOIS | 557 | $3.7M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 342 | $333K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 342 | $333K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 342 | $333K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 557 | $3.7M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 342 | $344K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 557 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.