| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | $105K | — | $105K | 2.79% |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 482262513 | HUMANA INSURANCE COMPANY | $104K | — | $104K | 2.79% |
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | $225 | — | $225 | 0.07% |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 48226 | HUMANA INSURANCE COMPANY | $225 | — | $225 | 0.07% |
| MACQUEEN & ASSOCIATES LLC3 Filed as: MACQUEEN AND ASSOCIATES, LLC | 2191 TWELVE MILE ROAD BERKLEY, MI 48072 | METROPOLITAN LIFE INSURANCE COMPANY | $29K | — | $29K | 10.18% |
| MACQUEEN & ASSOCIATES LLC3 Filed as: MACQUEEN AND ASSOCIATES, LLC | 2191 TWELVE MILE ROAD BERKLEY, MI 48072 | THE UNION LABOR LIFE INSURANCE COMPANY | $4K | — | $4K | 7.50% |
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | HUMANA BENEFIT PLAN OF ILLINOIS, INC | $675 | — | $675 | 2.55% |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 48226 | HUMANA BENEFIT PLAN OF ILLINOIS, INC | $675 | — | $675 | 2.55% |
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | $825 | — | $825 | 3.95% |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 482262513 | HUMANA INSURANCE COMPANY | $825 | — | $825 | 3.95% |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 482262513 | HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC | $75 | — | $75 | — |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 48226 | HUMANA INSURANCE COMPANY | $75 | — | $75 | — |
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | $0 | — | $0 | — |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 48226 | HUMANA INSURANCE COMPANY | $1K | — | $1K | — |
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | $0 | — | $0 | — |
| BENESYS INC5 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | VISION SERVICE PLAN | — | — | $0 | — |
| TMR & ASSOCIATES3 | 601 ABBOTT STREET DETROIT, MI 48226 | VISION SERVICE PLAN | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HUMANA INSURANCE COMPANY EIN 39-1263473 NONE | Insurance services; Direct payment from the plan Service code 23 | 500 WEST MAIN STREET LOUISVILLE, KY 40202 | $3.7M |
| MAGELLAN RX MANAGEMENT EIN 86-1042036 PHARMACY BENEFIT MANAGEME | Direct payment from the plan; Other fees; Claims processing Service code 12 | PO BOX 783053 PHILADELPHIA, PA 19178 | $744K |
| METROPOLITAN LIFE INSURANCE CO EIN 13-5581829 NONE | Direct payment from the plan; Insurance services Service code 23 | 501 US HIGHWAY 22, 2ND FLOOR BRIDGEWATER, NJ 08807 | $281K |
| BENESYS INC EIN 38-3507129 PLAN ADMINISTRATOR | Claims processing; Plan Administrator; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 12 | 700 TOWER DRIVE SUITE 300 TROY, MI 48098 | $129K |
| THE UNION LABOR LIFE INSURANCE CO EIN 13-1423090 NONE | Insurance services; Direct payment from the plan Service code 23 | ONE STREET NORTHWEST WASHINGTON, DC 20001 | $121K |
| HEALTH ALLIANCE PLAN OF MICHIGAN EIN 38-2242827 NONE | Direct payment from the plan; Contract Administrator Service code 13 | 2850 W. GRAND BLVD DETROIT, MI 48202 | $42K |
| DELTA DENTAL PLAN OF MICHIGAN EIN 38-1791480 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | PO BOX 30416 LANSING, MI 489097916 | $34K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Insurance services; Direct payment from the plan Service code 23 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | $33K |
| SULLIVAN WARD ASHER AND PATTON PC EIN 38-1956491 NONE | Legal; Direct payment from the plan Service code 29 | 25800 NORTHWESTERN HIGHWAY SOUTHFIELD, MI 48075 | $25K |
| AON CONSULTING EIN 22-2232264 NONE | Direct payment from the plan; Actuarial Service code 11 | 3000 TOWN CENTER, SUITE 2900 SOUTHFIELD, MI 480751000 | $24K |
| ZELIS EIN 46-3708039 NONE | Direct payment from the plan; Contract Administrator Service code 13 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $23K |
| AMERICAN GRAPHICS EIN 38-2090931 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 34895 GROSEBECK HIGHWAY CLINTON TOWNSHIP, MI 48035 | $14K |
| WALTER, BOESKY & ASSOCIATES P.C. EIN 38-3629743 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 17320 W. 12 MILE ROAD STE 200 SOUTHFIELD, MI 480762105 | $12K |
| AMERICARE MEDICAL INC. EIN 38-2364792 NONE | Direct payment from the plan; Other services Service code 49 | 1938 WOODSLEE DRIVE TROY, MI 48083 | $10K |
| GOLDEN DENTAL PLANS INC EIN 38-2724203 NONE | Insurance services; Direct payment from the plan Service code 23 | 29377 HOOVER ROAD WARREN, MI 48093 | $9K |
| MACQUEEN INSURANCE GROUP EIN 20-0495393 NONE | Insurance services; Direct payment from the plan Service code 23 | 2191 TWELVE MILE ROAD BERKLEY, MI 48072 | $8K |
| SSS CONSULTANTS LLC EIN 46-4689707 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | 31313 NORTHWESTERN HWY, SUITE 114 FRAMINGTON HILLS, MI 48334 | $8K |
| DAVIS VISION INC EIN 11-3051991 NONE | Insurance services; Direct payment from the plan Service code 23 | 711 TROY-SCHENECTADY ROAD LATHAM, NY 12110 | $8K |
| HEALTH DESIGN ENTERPRISES LLC EIN 38-3607439 NONE | Contract Administrator; Direct payment from the plan Service code 13 | 1550 E BELTLINE SE GRAND RAPIDS, MI 49506 | $7K |
| WORK LIFE STRATEGIES EIN 80-0178558 NONE | Consulting (pension); Direct payment from the plan Service code 17 | PO BOX 670444 DALLAS, TX 75367 | $7K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,199 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 4 carriers) | HUMANA INSURANCE COMPANY | 1,344 | $4.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 2,147 | $528K |
| Vision | VISION SERVICE PLAN | 1,065 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 913 | $281K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,199 | $51K |
| Other | HAP PREFERRED INC | 618 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,147 | — |
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.