| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MACQUEEN INSURANCE GROUP3 Filed as: MACQUEEN & ASSOC LLC | 2191 TWELVE MILE RD BERKLEY, MI 48072 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $21K | — | $21K | 10.50% |
| MACQUEEN INSURANCE GROUP3 Filed as: MACQUEEN & ASSOC LLC | 2191 TWELVE MILE RD BERKLEY, MI 48072 | COMPANION LIFE COLUMBIA,SC | $11K | — | $11K | 8.00% |
| MACQUEEN INSURANCE GROUP3 Filed as: MACQUEEN & ASSOC LLC | 2191 TWELVE MILE RD BERKLEY, MI 48072 | HARTFORD LIFE AND ACCIDENT | $7K | — | $7K | 15.00% |
| MACQUEEN INSURANCE GROUP3 Filed as: MACQUEEN & ASSOC LLC | 2191 TWELVE MILE RD BERKLEY, MI 48072 | HARTFORD LIFE AND ACCIDENT | — | $587 | $587 | 1.34% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NOVARA TESIJA, PLLC EIN 38-3507129 NONE | Legal Service code 29 | 2400 TOWN CENTER, STE. 2370 SOUTHFIELD, MI 48075 | $74K |
| TIC INTERNATIONAL CORP NONE | Contract Administrator; Claims processing; Accounting (including auditing) Service code 10 | 6525 CENTURION DR. LANSING, MI 48917 | $60K |
| FRONTPATH HEALTH COALITION EIN 34-1713951 NONE | Other fees Service code 99 | 12875 ECKEL JUNCTION ROAD PERRYSBURG, OH 43551 | $46K |
| UA LOCAL 671 EIN 38-6155145 NONE | Contract Administrator Service code 13 | 309 DETROIT AVE MONROE, MI 48161 | $33K |
| UNITED ACTUARIAL SERVICES, INC. EIN 38-1753045 NONE | Actuarial Service code 11 | 11590 NORTH MERIDIAN ST., SUITE 610 CARMEL, IN 46032 | $23K |
| HEALTHSMART CARE MANAGEMENT SOLUTIO EIN 75-2960859 NONE | Other fees Service code 99 | PO BOX 842088 DALLAS, TX 752842088 | $15K |
| LUBLINSUSSMAN GROUP, LLP EIN 34-1087273 NONE | Accounting (including auditing) Service code 10 | 3166 N. REPUBLIC BLVD TOLEDO, OH 43615 | $14K |
| MORGAN STANLEY EIN 26-4310632 NONE | Other investment fees and expenses; Direct payment from the plan; Investment advisory (plan) Service code 27 | 200 PUBLIC SQUARE, SUITE 2600 CLEVELAND, OH 44114 | $11K |
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 | 112 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 293 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 286 | $44K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 299 | $337K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.