| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVE T MATTAR3 Filed as: STEVE MATTAR | 5750 NEW KING STREET SUITE 310 TROY, MI 48098 | BLUE CARE NETWORK OF MICHIGAN | $25K | $993 | $26K | 4.48% |
| ACTION BENEFITS COMPANY3 | 26533 EVERGREEN RD, STE 400 SOUTHFIELD, MI 480768076 | BLUE CARE NETWORK OF MICHIGAN | $5K | — | $5K | 0.86% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $1K | $4K | 7.05% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | PRINCIPAL LIFE INSURANCE COMPANY | -$1 | — | -$1 | -0.00% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $2K | $5K | 9.26% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 5.26% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $1K | $3K | 7.72% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.04% |
| STEVE T MATTAR3 Filed as: STEVE MATTAR | 5750 NEW KING STREET SUITE 310 TROY, MI 48098 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $1K | $16 | $1K | 4.15% |
| ACTION BENEFITS COMPANY3 | 26533 EVERGREEN RD, STE 400 SOUTHFIELD, MI 480768076 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $225 | — | $225 | 0.88% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $393 | $3K | 15.63% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 8.27% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $523 | $2K | 13.28% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 6.50% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $393 | $2K | 16.07% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 8.38% |
| CORPORATE BENEFIT SOLUTIONS3 Filed as: CORPORATE BENEFIT SOLUTIONS LLC | 5750 NEW KING STREET SUITE 310 TROY, MI 480982696 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $575 | $187 | $762 | 13.63% |
| INSURANCE CONSULTING ASSOCIATES LLC3 | 27750 STANSBURY BLVD STE 100 FARMINGTON HILLS, MI 483343803 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $352 | — | $352 | 6.30% |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 199 | $598K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 221 | $58K |
| Vision(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 199 | $598K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 125 | $43K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 125 | $49K |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 55 | $22K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 199 | $573K |
| Other(3 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 125 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 221 | — |
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.