| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE NULTY AGENCY INC.3 | 5579 STADIUM DRIVE KALAMAZOO, MI 490091929 | PRIORITY HEALTH | $76K | $0 | $76K | 2.47% |
| THE NULTY AGENCY INC.3 | 5579 STADIUM DRIVE KALAMAZOO, MI 490091929 | DELTA DENTAL OF MICHIGAN | $9K | $0 | $9K | 2.98% |
| THE NULTY AGENCY INC.3 | 5579 STADIUM DRIVE KALAMAZOO, MI 490091929 | UNUM LIFE INSURANCE CO OF AMER | $10K | $0 | $10K | 15.31% |
| THE NULTY AGENCY INC.3 | 5579 STADIUM DRIVE KALAMAZOO, MI 490091929 | UNUM LIFE INSURANCE CO OF AMER | $6K | $0 | $6K | 11.16% |
| THE NULTY AGENCY INC.3 | 5579 STADIUM DRIVE KALAMAZOO, MI 490091929 | FIDELITY SECURITY LIFE INSURANCE (EYEMED VISION CARE) | $4K | $0 | $4K | 9.97% |
| THE NULTY AGENCY INC.3 Filed as: NULTY INSURANCE | 5579 STADIUM DRIVE KALAMAZOO, MI 490091929 | FIDELITY SECURITY LIFE INSURANCE (EYEMED VISION CARE) | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNUM LIFE INSURANCE CO OF AMER EIN 01-0278678 ADMIN OF ST DISAB | Claims processing; Direct payment from the plan; Other fees; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $21K |
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 | 390 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 391 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRIORITY HEALTH | 686 | $3.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 765 | $295K |
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE (EYEMED VISION CARE) | 703 | $41K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE CO OF AMER | 383 | $115K |
| Long-term disability | UNUM LIFE INSURANCE CO OF AMER | 383 | $51K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE CO OF AMER | 383 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 765 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.