| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PARTNERS GROUP LLC3 Filed as: BENEFIT PARTNERS GROUP, LLC | — | BLUE CROSS BLUE SHIELD OF ILLINOIS | $33K | $2K | $35K | 1.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | — | BLUE CROSS BLUE SHIELD OF ILLINOIS | $7K | — | $7K | 0.33% |
| RUSSELL L WARYE3 | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $23K | — | $23K | 3.63% |
| ACTION BENEFITS COMPANY3 | 26533 EVERGREEN ROAD SUITE 400 SOUTHFIELD, MI 48076 | BLUE CARE NETWORK OF MICHIGAN | $543 | — | $543 | 0.08% |
| RUSSELL L WARYE3 | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $9K | — | $9K | 3.44% |
| ACTION BENEFITS COMPANY3 | 26533 EVERGREEN ROAD SUITE 400 SOUTHFIELD, MI 48076 | BLUE CARE NETWORK OF MICHIGAN | $240 | — | $240 | 0.10% |
| BENEFIT PARTNERS GROUP LLC3 | 1850 WEST WINCHESTER ROAD SUITE 103 LIBERTYVILLE, IL 60048 | DEARBORN LIFE INSURANCE COMPANY | $37K | — | $37K | 17.79% |
| RESOURCE BROKERAGE LLC3 | 1501 EAST WOODFIELD ROAD SUITE 110E SCHAUMBURG, IL 60173 | DEARBORN LIFE INSURANCE COMPANY | — | $10K | $10K | 4.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD CHICAGO, IL 60604 | DEARBORN LIFE INSURANCE COMPANY | $4K | — | $4K | 1.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST INTERNATI | 1850 WEST WINCHESTER ROAD #103 LIBERTYVILLE, IL 60048 | DEARBORN LIFE INSURANCE COMPANY | $3K | — | $3K | 1.61% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LIMI | 1850 WEST WINCHESTER ROAD SUITE 103 LIBERTYVILLE, IL 60048 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $21K | — | $21K | 11.02% |
| BENEFIT PARTNERS GROUP LLC3 Filed as: BENEFIT PARTNERS GROUP, LLC | 1850 WEST WINCHESTER ROAD SUITE 103 LIBERTYVILLE, IL 60048 | VISION SERVICE PLAN | $849 | — | $849 | 3.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1850 WEST WINCHESTER ROAD SUITE 103 LIBERTYVILLE, IL 60048 | VISION SERVICE PLAN | $419 | — | $419 | 1.56% |
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 | 426 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 24 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 453 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 345 | $2.9M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 319 | $193K |
| Vision | VISION SERVICE PLAN | 269 | $27K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 463 | $400K |
| Short-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 463 | $400K |
| Long-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 463 | $400K |
| Prescription drug(2 contracts) | BLUE CARE NETWORK OF MICHIGAN | 85 | $893K |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 463 | $400K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 463 | — |
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.