| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEROME F KONAL3 | 26555 EVERGREEN RD STE 1600 SOUTHFIELD, MI 48076 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $39K | $2K | $40K | 1.97% |
| MELISSA ARMATIS3 | 3099 BIDDLE AVE WYANDOTTE, MI 48192 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $1K | — | $1K | 0.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN, LLC | ONE TOWNE SQUARE STE 800 SOUTHFIELD, MI 48076 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | $19K | — | $19K | 4.39% |
| RESOURCE ALLIANCE LLC3 | 2300 LAKEVIEW PKWY STE 700 ALPHARETTA, GA 30004 | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | -$4K | — | -$4K | -1.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN, INC. | PO BOX 416719 BOSTON, MA 02241 | UPMC HEALTH OPTIONS | $2K | — | $2K | 1.74% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN INC | PO BOX 416719 BOSTON, MA 02241 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $849 | $7K | 13.67% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF MI LLC | 3099 BIDDLE AVE WYANDOTTE, MI 48192 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $549 | — | $549 | 1.09% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN, INC | PO BOX 416719 BOSTON, MA 02241 | UPMC HEALTH OPTIONS | $272 | — | $272 | 1.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN, INC. | PO BOX 416719 BOSTON, MA 02241 | UPMC HEALTH BENEFITS | $725 | — | $725 | 11.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN INC | ONE TOWNE SQUARE STE 800 SOUTHFIELD, MI 48076 | GREATER GEORGIA LIFE INSURANCE COMPANY | $983 | — | $983 | 35.36% |
| RESOURCE ALLIANCE LLC3 | 2300 LAKEVIEW PKWY STE 700 ALPHARETTA, GA 30004 | GREATER GEORGIA LIFE INSURANCE COMPANY | -$380 | — | -$380 | -13.67% |
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 | 181 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 25 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 289 | $2.6M |
| Dental(5 contracts, 4 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 289 | $2.6M |
| Vision | BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA, INC. | 57 | $437K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $53K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $50K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 289 | $2.0M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $50K |
| 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."
No prospect flags tripped on this filing.