| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL SPLEET3 Filed as: MICHAEL C SPLEET | 2900 WEST ROAD STE EAST LANSING, MI 48823 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $35K | — | $35K | 4.55% |
| STRATEGIC BENEFITS NETWORK LLC3 | 2900 WEST ROAD STE 222 EAST LANSING, MI 48823 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $780 | — | $780 | 0.10% |
| MASTER UNUM ENROLL Filed as: UNUM LIFE INSURANCE COMPANY | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 11.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MICHAEL C SPLEET INSURANCE AGENT | Non-monetary compensation; Insurance brokerage commissions and fees; Other fees; Other commissions; Insurance agents and brokers Service code 22 | 2900 WEST RD STE 222 EAST LANSING, MI 48823 | $35K |
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 | 115 | 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) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 115 | $759K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 113 | $26K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 113 | $26K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 115 | $759K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 113 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 115 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.