| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SECURE ONE BENEFIT ADMINISTRATORS3 | 678 FRONT STREET, SUITE 420 GRAND RAPIDS, MI 49504 | COMPANION LIFE INSURANCE COMPANY | $69K | — | $69K | 19.42% |
| CARL R MESSING3 Filed as: CARL R. MESSING | 5925 MERIDIAN, SUITE 300 BRIGHTON, MI 48116 | KANSAS CITY LIFE INSURANCE COMPANY | $3K | — | $3K | 3.13% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SECUREONE BENEFIT ADMIN., INC EIN 38-3119016 TPA | Contract Administrator; Claims processing Service code 12 | 678 FRONT STREET, SUITE 420 GRAND RAPIDS, MI 49504 | $133K |
| ENVISIONRX EIN 90-1011712 PHARMACY BENEFIT MANAGER | Claims processing Service code 12 | 2181 E. AURORA RD, STE 201 TWINSBURG, OH 44087 | $20K |
| JANZ & KNIGHT, PLC, CPA'S EIN 38-1458667 AUDITOR | Accounting (including auditing) Service code 10 | 300 E. LONG LAKE ROAD, SUITE 360 BLOOMFIELD HILLS, MI 483042377 | $16K |
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 | 263 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 289 | $104K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 264 | $358K |
| Other | KANSAS CITY LIFE INSURANCE COMPANY | 289 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 289 | — |
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.