| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASR HEALTH BENEFITS3 | — | SYMETRA | — | $102K | $102K | 19.00% |
| KAPNICK & COMPANY, INC.3 Filed as: A E MOURAD AGENCY INC. | 28277 DEQUINDRE MADISON HEIGHTS, MI 48071 | HUMANA INC. | — | $4K | $4K | 1.42% |
| KAPNICK & COMPANY, INC.3 Filed as: A E MOURAD AGENCY INC. | 28277 DEQUINDRE MADISON HEIGHTS, MI 48071 | DELTA DENTAL OF MICHIGAN | $5K | — | $5K | 3.05% |
| ASR HEALTH BENEFITS3 | — | WESTPORT INSURANCE | — | $125 | $125 | 18.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASR HEALTH BENEFITS EIN 38-2651185 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $138K |
| EMPLOYEE HEALTH INSURANCE MGT. INC. EIN 38-2776173 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $15K |
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 | 365 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 445 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MICHIGAN | 0 | $156K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | SYMETRA | 365 | $537K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 365 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.