| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHELBY GROUP INC3 Filed as: SHELBY A RENDAZZO | — | BLUE CROSS BLUE SHIELD OF MICHIGAN | $27K | — | $27K | 1.27% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $9K | — | $9K | 0.41% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $1K | $1K | 0.05% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $10K | $15K | 6.82% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LAND GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $547 | $547 | 0.24% |
| SHELBY A RANDAZZO3 | — | BLUE CARE NETWORK OF MICHIGAN | $1K | — | $1K | 1.11% |
| MARK C NIXON3 Filed as: MARK E KRAMER | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN | $971 | — | $971 | 0.81% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN | — | $83 | $83 | 0.07% |
| WILSHIRE BENEFITS GROUP INC3 Filed as: WILSHIRE BENEFITS GROUP, INC | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $569 | $12K | 14.60% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LANE GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $29 | $29 | 0.04% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $10K | 16.46% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LANE GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $140 | $140 | 0.24% |
| THOMAS DANIEL SCHMIDT3 | 21608 PINE CONE DRIVE MACOMB, MI 48042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $2K | $11K | 20.04% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE TROY, MI 48084 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $332 | $5K | 9.40% |
| JASON RODERICK3 | 2130 28TH STREET SOUTHWEST WYOMING, MI 49519 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $197 | $3K | 5.59% |
| DIANNA LYNN ATCHISON3 | 15130 SNOWBERRY COURT SPRING LAKE, MI 49456 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $240 | $3K | 4.68% |
| CYNTHIA SUSANNE EVERY3 | 212 WEST DUNCAN MANCHESTER, MI 48158 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $140 | $2K | 3.98% |
| DEREK GENE BALLARD3 | 17441 MADISON STREET SOUTHFIELD, MI 48076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $190 | $2K | 3.19% |
| STEVEN R SWEEZEA3 | 9420 WEST PIERSON FLUSHING, MI 48433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 2.39% |
| HOWARD HOROWITZ3 Filed as: HOWARD J HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $428 | $242 | $670 | 1.20% |
| W F HILL AND ASSOCIATES INC3 Filed as: W F HILL AND ASSOCIATES | 600 WEST LAFAYETTE DETROIT, MI 48226 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $292 | $363 | $655 | 1.18% |
| BALLARD FINANCIAL LLC3 | 17441 MADISON STREET SOUTHFIELD, MI 48076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $543 | $27 | $570 | 1.02% |
| CHARLES ALLEN PINKERTON3 | 2653 CADES COVE BRIGHTON, MI 48114 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $167 | $83 | $250 | 0.45% |
| JAMES A KERN3 | 43000 12 OAKS CRESCENT DRIVE NOVI, MI 48377 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $100 | $116 | $216 | 0.39% |
| MARK GERALD HAYDEN3 Filed as: MARK GERARD HAYDEN | 12406 LAPEER ROAD DAVISON, MI 48423 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $100 | — | $100 | 0.18% |
| PARRISH J PEACHEE3 | 109 NORTH UNION STREET WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | $2 | $66 | 0.12% |
| DAVID N SOKOL3 Filed as: DAVID NEIL SOKOL | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | NORTHWESTERN MUTUAL | $2K | $545 | $3K | 5.10% |
| MARK E HARDY3 | 5444 STATE STREET SAGINAW, MI 48603 | NORTHWESTERN MUTUAL | $1K | $272 | $1K | 2.55% |
| IVAN MATTHEW PERUSKI3 | 5444 STATE STREET SAGINAW, MI 48603 | NORTHWESTERN MUTUAL | $1K | $272 | $1K | 2.55% |
| MARK E HARDY3 | 5444 STATE STREET SAGINA, MI 48603 | NORTHWESTERN MUTUAL | $1K | $272 | $1K | 2.55% |
| SEITZINGER FNCL GP INC3 Filed as: SEITZINGER FINANCIAL GROUP INC | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | NORTHWESTERN MUTUAL | $751 | $80 | $831 | 1.65% |
| GARY J MESSING3 | 114 E BROADWAY STREET MT. PLEASANT, MI 48858 | NORTHWESTERN MUTUAL | $338 | $104 | $442 | 0.88% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 9.16% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $5K | 18.52% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 Filed as: BENEFIT 1 INC DBA TRUENTWORK OF AD | 1513 AMBER LANE GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $75 | $75 | 0.29% |
| WILSHIRE BENEFITS GROUP INC3 Filed as: WILSHIRE BENEFITS GROUP, INC | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $781 | $3K | 14.06% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LANE GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $40 | $40 | 0.21% |
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 | 253 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 452 | $2.2M |
| Dental(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $345K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 600 | $27K |
| Life insurance(3 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 253 | $198K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 253 | $82K |
| Long-term disability(2 contracts, 2 carriers) | NORTHWESTERN MUTUAL | 63 | $76K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 253 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 600 | — |
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."
No prospect flags tripped on this filing.