| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENESYS INC4 Filed as: BENESYS, INC, | 700 TOWER DRIVE SUITE 300 TROY, MI 480982835 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 0.08% |
| SAGINAW BAY UNDERWRITERS3 Filed as: SAGINAW UNDERWRITERS INC | P.O. BOX 1928 SAGINAW, MI 48605 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 1.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HCC LIFE INSURANCE COMPANY EIN 35-1817054 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $519K |
| SAV-RX PRESCRIPTION SERVICES EIN 47-0527013 NONE | Other services; Direct payment from the plan Service code 49 | — | $163K |
| BENESYS, INC. EIN 38-2383171 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator; Direct payment from the plan Service code 14 | 700 TOWER DRIVE, STE 300 TROY, MI 48098 | $149K |
| NOVARA TESIJA & CATENACCI, P.L.L.C. EIN 38-3763096 NONE | Direct payment from the plan; Legal Service code 29 | 2000 TOWN CTR STE 2370 SOUTHFIELD, MI 48075 | $122K |
| HUNTINGTON NATIONAL BANK EIN 31-0966785 NONE | Direct payment from the plan; Investment management fees paid indirectly by plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $58K |
| TFBC, LLC EIN 27-3782504 NONE | Consulting (general); Direct payment from the plan Service code 16 | TWO MID AMERICA PLAZA 800 OAKBROOK TERRACE, IL 60181 | $48K |
| HAP PREFERRED, INC. EIN 38-2242827 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $31K |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $27K |
| PLUMBERS & PIPEFITTERS UA LOCAL 85 EIN 38-1119237 CONTRIBUTING EMPLOYER | Copying and duplicating; Direct payment from the plan; Other services Service code 36 | — | $27K |
| UNION SERVICES AGENCY EIN 38-3297465 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 119 PERE MARQUETTE STE 1A LANSING, MI 48912 | $17K |
| BULTYNCK & CO., P.L.L.C EIN 20-3920878 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 15985 CANAL ROAD CLINTON TOWNSHIP, MI 48038 | $16K |
| STEFANSKY, HOLLOWAY, & NICHOLS INC EIN 38-2388845 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 22260 HAGGERTY ROAD, 350 NORTHVILLE, MI 48167 | $11K |
| UNITED ACTUARIAL SERVICES EIN 13-2600875 NONE | Direct payment from the plan; Actuarial Service code 11 | 11590 N. MERIDIAN, 610 CARMEL, IN 460324529 | $8K |
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 | 661 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 297 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 958 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 412 | $1.6M |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,220 | $203K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,220 | $203K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,220 | $203K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,220 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.