| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEADOWBROOK INC3 Filed as: MEADOWBROOK INSURANCE GROUP | 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 | TOTAL HEALTH CARE USA, INC. | $74K | — | $74K | 2.95% |
| MEADOWBROOK INC3 Filed as: MEADOWBROOK, INC | 26255 AMERICAN DR SOUTHFIELD, MI 48034 | PRINCIPAL LIFE INSURANCE COMPANY | $21K | $6K | $28K | 6.71% |
| MEADOWBROOK INC3 Filed as: MEADOWBROOK, INC. | 26255 AMERICAN DR SOUTHFIELD, MI 48034 | DELTA DENTAL OF MICHIGAN | $9K | — | $9K | 6.33% |
| MEADOWBROOK INC3 | 2625 AMERICAN DRIVE SOUTHFIELD, MI 48034 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $5K | — | $5K | 4.32% |
| MEADOWBROOK INC3 Filed as: MEADOWBROOK, INC | 26255 AMERICAN DR SOUTHFIELD, MI 48034 | DELTA DENTAL OF MICHIGAN | $6K | — | $6K | 6.94% |
| JEANNETTE S STAPLETON3 | 34706 CENTAUR CLINTON TOWNSHIP, MI 48035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 9.66% |
| MEADOWBROOK INC3 Filed as: MEADOWBROOK INSURANCE GROUP | 26255 AMERICAN DR SOUTHFIELD, MI 48034 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 9.62% |
| GREG A GOULD3 Filed as: GREG GOULD | 8105 GINGKO WAY DEXTER, MI 48130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 4.88% |
| ALAN BERGMANN3 Filed as: ALAN W BERGMANN | 284 TWIN PONDS OKEMOS, MI 48865 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.21% |
| NEGYLE A BEAMAN3 | 14313 CROSLEY REDFORD, MI 48239 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.69% |
| KRAIG M SEXTON3 | 9864 E GRAND RIVER SUITE 110 #292 BRIGHTON, MI 48116 | CONTINENTAL AMERICAN INSURANCE COMPANY | $601 | — | $601 | 0.90% |
| THOMAS W RINGWALD3 | 2732 SPIRIT ROCK TRAIL RENO, NV 89511 | CONTINENTAL AMERICAN INSURANCE COMPANY | $187 | — | $187 | 0.28% |
| JIM M BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $72 | — | $72 | 0.11% |
| AG AND ASSOCIATES3 | 2150 ASSOCIATION DRIVE SUITE 150 OKEMOS, MI 48864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | — | $52 | 0.08% |
| STEPHANIE L KESSELRING3 Filed as: STEPHANIE L KESSERLRING | 3141 ROLLING GREEN CT MILLFORD, MI 48380 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | — | $28 | 0.04% |
| HEATHER A DOLLIVER3 | 212 W SILVER LK ROAD FENTON, MI 48430 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.03% |
| HEIDIE GLAUB3 | 5458 PARKSIDE BRIGHTON, MI 48114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.03% |
| JEFFREY C WERNER3 | 18096 TRUDY DR SPRING LAKE, MI 49456 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.03% |
| CHRIS D BOULDREY3 | 350 WOOD HILLS DRIVE CONCORD, MI 49237 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| JULIE SLAUGHTER3 | 430 BOARDWALK WALLED LAKE, MI 48390 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| JAMES C SNIDER JR3 Filed as: JAMES C SNIDER | 830 JUANITA RAEL WINTER PARK, FL 32789 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| INSGROUP INC3 Filed as: MEADOWBROOK INSURANCE GROUP - BOR | 26255 AMERICAN DR SOUTHFIELD, MI 48034 | EYEMED VISION CARE | $4K | — | $4K | 9.30% |
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 | 414 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 423 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 14 | $125K |
| Dental(2 contracts) | DELTA DENTAL OF MICHIGAN | 388 | $225K |
| Vision | EYEMED VISION CARE | 547 | $47K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 677 | $412K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 677 | $412K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 677 | $412K |
| Prescription drug | TOTAL HEALTH CARE USA, INC. | 653 | $2.5M |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 327 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 677 | — |
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.