| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MODI FINANCIAL3 Filed as: MODI, RISHIE | 6705 BROOKSHIRE DRIVE CANTON, MI 48187 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $124K | $0 | $124K | 7.56% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: 360 RISK MANAGEMENT, INC. | 21500 HAGGERTY ROAD SUITE 140 NORTHVILLE, MI 48167 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $6K | $6K | 0.37% |
| MODI FINANCIAL3 | 21500 HAGGERTY ROAD SUITE 140 NORTHVILLE, MI 48167 | METROPOLITAN LIFE INSURANCE COMPANY | $43K | $208 | $43K | 11.62% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: 360 RISK MANAGEMENT, INC. | 21500 HAGGERTY ROAD SUITE 140 NORTHVILLE, MI 48167 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $2K | $0 | $2K | 9.20% |
| MODI FINANCIAL3 Filed as: MODI, RISHIE | 21500 HAGGERTY ROAD SUITE 140 NORTHVILLE, MI 48167 | PROVIDENT LIFE AND ACCIDENT COMPANY | $868 | $0 | $868 | 5.45% |
| THE DANCY GROUP LLC3 Filed as: DANCY, SHERRY ANN | 150 EAST MOUND STREET SUITE 202 COLUMBUS, OH 43215 | PROVIDENT LIFE AND ACCIDENT COMPANY | $191 | $0 | $191 | 1.20% |
| MODI FINANCIAL3 Filed as: MODI, RISHIE | 21500 HAGGERTY ROAD SUITE 140 NORTHVILLE, MI 48167 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $44 | $0 | $44 | 8.51% |
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 | 437 | 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) | 437 | 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 | 437 | $2.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 437 | $371K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 384 | $20K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 437 | $387K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT COMPANY | 26 | $16K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 437 | $371K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 289 | $1.6M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 437 | $372K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 437 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.