| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOXLEY GROUP, LLC3 Filed as: LOXLEY GROUP LLC | 528 4TH STREET NW GRAND RAPIDS, MI 495047330 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | — | $12K | 15.21% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | $2K | $9K | 10.66% |
| LOXLEY GROUP, LLC3 Filed as: LOXLEY GROUP LLC | 460 ADA DR SE, STE 222 ADA, MI 49301 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 4.83% |
| LOXLEY GROUP, LLC3 Filed as: LOXLEY GROUP LLC | 528 4TH STREET NW GRAND RAPIDS, MI 49504 | DELTA DENTAL OF MICHIGAN | $447 | — | $447 | 0.95% |
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 | 212 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $128K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $81K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $81K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $81K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $81K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 212 | $81K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.