| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMOTHY M DURSO3 | 608 S WASHINGTON AVENUE STE 200 LANSING, MI 48933 | BLUE CARE NETWORK OF MICHIGAN | $78K | $0 | $78K | 2.85% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES INC | 608 S WASHINGTON AVENUE STE 200 LANSING, MI 49833 | BLUE CARE NETWORK OF MICHIGAN | $0 | $3K | $3K | 0.12% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES, INC | 511 S. WASHINGTON AVE LANSING, MI 48933 | DELTA DENTAL OF MICHIGAN | $8K | $398 | $9K | 3.37% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES INC | 608 S WASHINGTON AVENUE STE 200 LANSING, MI 49833 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $13K | $0 | $13K | 7.84% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES INC | 608 S WASHINGTON AVENUE SUITE 200 LANSING, MI 48933 | HARTFORD LIFE AND ACCIDENT | $8K | $0 | $8K | 10.00% |
| TIMOTHY M DURSO3 | 608 S WASHINGTON AVENUE STE 200 LANSING, MI 48933 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $683 | $0 | $683 | 1.38% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES INC | 608 S WASHINGTON AVENUE STE 200 LANSING, MI 49833 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $301 | $301 | 0.61% |
| CENTENNIAL GROUP BENEFITS3 Filed as: THE CENTENNIAL GROUP | 608 S WASHINGTON AVENUE SUITE 200 LANSING, MI 48933 | EYEMED VISION CARE OBO THE FIDELITY SECURITY LIFE INSURANCE COMPANY | $4K | $0 | $4K | 9.96% |
| CENTENNIAL GROUP BENEFITS3 Filed as: THE CENTENNIAL GROUP | 608 S WASHINGTON AVENUE STE 200 LANSING, MI 48933 | EYEMED VISION CARE OBO THE FIDELITY SECURITY LIFE INSURANCE COMPANY | $38 | $0 | $38 | 0.09% |
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 | 265 | 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) | 265 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 372 | $2.8M |
| Dental | DELTA DENTAL OF MICHIGAN | 490 | $255K |
| Vision | EYEMED VISION CARE OBO THE FIDELITY SECURITY LIFE INSURANCE COMPANY | 424 | $41K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 262 | $76K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 257 | $161K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 257 | $161K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 372 | $2.8M |
| Other | HARTFORD LIFE AND ACCIDENT | 262 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 490 | — |
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.