| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICAH S WIDDER3 | 2357 STONEBRIDGE FLINT, MI 48532 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $16K | — | $16K | 0.96% |
| MICAH S WIDDER3 Filed as: MICAH WIDDER GROUP PLLC | 2357 STONEBRIDGE FLINT, MI 48532 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $2K | $2K | 0.12% |
| MICAH S WIDDER3 | 2357 STONEBRIDGE FLINT, MI 48532 | BLUE CARE NETWORK OF MICHIGAN | $8K | — | $8K | 0.92% |
| MICAH S WIDDER3 Filed as: MICAH WIDDER GROUP PLLC | 2357 STONEBRIDGE FLINT, MI 48532 | BLUE CARE NETWORK OF MICHIGAN | — | $953 | $953 | 0.11% |
| MICAH S WIDDER3 Filed as: MICAH WIDDER GROUP, PLLC | 2357 STONEBRIDGE DR. FLINT, MI 48532 | DELTA DENTAL OF MICHIGAN | $16K | — | $16K | 9.52% |
| WILSHIRE BENEFITS GROUP INC3 Filed as: WILSHIRE BENEFITS GROUP | 901 WILSHIRE DR, STE 330 TROY, MI 48084 | DELTA DENTAL OF MICHIGAN | $5K | — | $5K | 3.20% |
| MICAH S WIDDER3 Filed as: MICAH WIDDER GROUP PLLC | 2357 STONEBRIDGE DR FLINT, MI 48532 | PACIFIC LIFE & ANNUITY COMPANY | $11K | — | $11K | 15.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 60450 | PACIFIC LIFE & ANNUITY COMPANY | $4K | — | $4K | 5.00% |
| WILSHIRE BENEFITS GROUP INC3 Filed as: WILSHIRE BENEFITS GROUP INC. | 901 WILSHIRE DR TROY, MI 48084 | PACIFIC LIFE & ANNUITY COMPANY | $4K | — | $4K | 4.98% |
| SECURITY FIRST BENEFITS CORP3 | 2357 STONEBRIDGE DR FLINT, MI 48532 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 4.94% |
| WILSHIRE BENEFITS GROUP INC3 Filed as: WILSHIRE BENEFITS GROUP INC. | 901 WILSHIRE DR STE 330 TROY, MI 48084 | STANDARD INSURANCE COMPANY | $755 | — | $755 | 3.45% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $716 | — | $716 | 3.27% |
| MICAH S WIDDER3 Filed as: MICAH WIDDER GROUP PLLC | 2357 STONEBRIDGE DR FLINT, MI 48532 | STANDARD INSURANCE COMPANY | $352 | — | $352 | 1.61% |
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 | 472 | 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) | 472 | 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 | 299 | $2.6M |
| Dental | DELTA DENTAL OF MICHIGAN | 472 | $167K |
| Vision | STANDARD INSURANCE COMPANY | 229 | $22K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 295 | $169K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 295 | $98K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 295 | $98K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 299 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 472 | — |
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.