| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AFFLIATED AGENCIES, LLC3 Filed as: AFFLIATED AGENCIES LLC | 5925 MERIDIAN BOULIVARD SUITE 300 BRIGHTON, MI 48116 | UNITED HEALTHCARE | — | $27K | $27K | — |
| AFFILIATED AGENCIES LLC3 | 5925 MERIDIAN BLVD SUITE 300 BRIGHTON, MI 48116 | PRINCIPAL LIFE INSURANCE | $44K | $6K | $50K | — |
| FRANK SCAGLIONE3 | 16401 E NINE MILE ROAD EASTPOINTE, MI 48021 | KANSAS CITY LIFE INSURANCE CO | — | $727 | $727 | — |
| PROFESSIONAL BENEFIT PLANNERS3 | 16401 E NINE MILE ROAD EASTPOINTE, MI 48021 | VBA VISION | $11K | $378 | $12K | — |
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 | 167 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE | 141 | $0 |
| Dental | PRINCIPAL LIFE INSURANCE | 173 | $0 |
| Vision | VBA VISION | 0 | $0 |
| Life insurance | KANSAS CITY LIFE INSURANCE CO | 149 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 173 | — |
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.