| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KIMBERLY ANN WIXSON3 | 3001 WEST BIG BEAVER ROAD TROY, MI 480848084 | BLUE CARE NETWORK OF MICHIGAN | $23K | — | $23K | 2.27% |
| EUGENE F LOVASCO3 | ONE WOODWARD AVENUE SUITE 1500 DETROIT, MI 482268226 | BLUE CARE NETWORK OF MICHIGAN | $804 | — | $804 | 0.08% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY (MIDWEST) INC | PO BOX 4092 CHURCH STREET STATION NEW YORK, NY 10261 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | — | $10K | 4.27% |
| LOVASCO CONSULTING GROUP INC3 Filed as: LOVASCO CONSULTING GROUP, INC | ONE WOODWARD AVENUE SUITE 1500 DETROIT, MI 48226 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 1.45% |
| KIMBERLY ANN WIXSON3 | 3001 WEST BIG BEAVER ROAD TROY, MI 480848084 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $5K | — | $5K | 2.29% |
| EUGENE F LOVASCO3 | ONE WOODWARD AVENUE SUITE 1500 DETROIT, MI 482268226 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $145 | — | $145 | 0.07% |
| THE SEGAL COMPANY3 Filed as: SEGAL CO MIDWEST INC THE | 3001 W BIG BEAVER RD STE 320 TROY, MI 480843104 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 4.35% |
| LOVASCO CONSULTING GROUP INC3 | 1 WOODWARD AVE STE 1500 DETROIT, MI 482265479 | METROPOLITAN LIFE INSURANCE COMPANY | $290 | — | $290 | 0.57% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY MIDWEST INC | 333 WEST 34TH ST NEW YORK, NY 10001 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 5.85% |
| LOVASCO CONSULTING GROUP INC3 Filed as: LOVASCO CONSULTING GROUP, INC. | ONE WOODWARD AVE DETROIT, MI 48226 | AETNA LIFE INSURANCE CO. | $298 | — | $298 | 0.85% |
| THE SEGAL COMPANY3 Filed as: SEGAL CONSULTING | 101 NORTH WACKER DRIVE SUITE 500 CHICAGO, IL 60606 | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED) | $183 | — | $183 | 3.48% |
| LOVASCO CONSULTING GROUP INC3 Filed as: LOVASCO CONSULTING GROUP | ONE WOODWARD AVENUE SUITE 1500 DETROIT, MI 482263697 | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED) | $22 | — | $22 | 0.42% |
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 | 213 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 163 | $1.2M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 141 | $86K |
| Vision(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED) | 152 | $9K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 472 | $224K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 472 | $224K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 472 | $224K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 163 | $1.2M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 472 | $224K |
| 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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.