| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STACEY DUNBAR3 | 37 W. BROAD ST. 7TH FLOOR COLUMBUS, OH 43215 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $28K | — | $28K | 3.01% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 519 MADISON AVENUE TOLDEO, OH 43604 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $444 | $444 | 0.05% |
| STACEY DUNBAR3 | 37 W. BROAD ST. 7TH FLOOR COLUMBUS, OH 43215 | BLUE CARE NETWORK OF MICHIGAN | $9K | — | $9K | 3.06% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 519 MADISON AVENUE TOLEDO, OH 43604 | BLUE CARE NETWORK OF MICHIGAN | — | $207 | $207 | 0.07% |
| HUNTINGTON INSURANCE - MILLERSBURG3 Filed as: HUNTINGTON INSURANCE -STACEY DUNBAR | 37 W BROAD ST COLUMBUS, OH 43215 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 2.35% |
| HUNTINGTON INSURANCE - MILLERSBURG3 Filed as: HUNTINGTON INSURANCE -STACEY DUNBAR | 221 S CHURCH ST BOWLING GREEN, OH 43402 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 1.99% |
| HUNTINGTON INSURANCE - MILLERSBURG3 Filed as: HUNTINGTON INSURANCE -SIMON DYSON | 221 S CHURCH ST BOWLING GREEN, OH 43402 | DELTA DENTAL OF MICHIGAN | $332 | — | $332 | 0.38% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.89% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET COLUMBUS, OH 43215 | STARMOUNT LIFE INSURANCE COMPANY | $1K | — | $1K | 9.11% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN, INC | PO BOX 9201 AUSTIN, TX 78766 | STARMOUNT LIFE INSURANCE COMPANY | — | $640 | $640 | 4.56% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $988 | — | $988 | 15.00% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $585 | — | $585 | 15.01% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $323 | — | $323 | 14.73% |
| HUNTINGTON INSURANCE INC3 | 41 S HIGH STREET 6TH FLOOR COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $80 | — | $80 | 15.01% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 132 | 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 | 156 | $1.2M |
| Dental | DELTA DENTAL OF MICHIGAN | 232 | $88K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 104 | $14K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 128 | $2K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 125 | $26K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 24 | $8K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 156 | $1.2M |
| Other(6 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 128 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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.