| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LISA K BRAYAN3 Filed as: LISA BRAYAN | 7591 PARADISE DR. GRAND BLANC, MI 48439 | MCLAREN HEALTH PLAN | $19K | — | $19K | 3.90% |
| LISA K BRAYAN3 | 7591 PARADISE DR GRAND BLANC, MI 48439 | GUARDIAN | $2K | — | $2K | 7.00% |
| LUCIDO MORRIS ASSOCIATES, LLC3 | 24255 W 13 MILE ROAD SUITE 250 BINGHAM FARMS, MI 48025 | GUARDIAN | $40 | — | $40 | 0.11% |
| LISA K BRAYAN3 | 7591 PARADISE DR. GRAND BLANC, MI 48439 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.29% |
| LAKE AGENCY, INC.3 Filed as: LAKE AGENCY, INC | PO BOX 6000 GRAND BLANC, MI 48480 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.41% |
| LISA K BRAYAN3 Filed as: LISA L BRAYAN | 7591 PARADISE DR. GRAND BLANC, MI 48439 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $146 | — | $146 | 1.50% |
| LAKE AGENCY, INC.3 | PO BOX 6000 GRAND BLANC, MI 48480 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $146 | — | $146 | 1.50% |
| LISA K BRAYAN3 | 7591 PARADISE DR. GRAND BLANC, MI 48439 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $648 | — | $648 | 7.00% |
| LAKE AGENCY, INC.3 | PO BOX 6000 GRAND BLANC, MI 48480 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $278 | — | $278 | 3.00% |
| LISA K BRAYAN3 | 7591 PARADISE DR. GRAND BLANC, MI 48439 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $799 | — | $799 | 10.50% |
| LAKE AGENCY, INC.3 Filed as: LAKE AGENCY, INC | PO BOX 6000 GRAND BLANC, MI 48480 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $342 | — | $342 | 4.50% |
| TOTAL BENEFIT SYSTEMS INC3 Filed as: TOTAL BENEFIT SYSTEMS | 7591 PARADISE DRIVE GRAND BLANC, MI 48439 | EYEMED VISION CARE | $427 | — | $427 | 9.83% |
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 | 108 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MCLAREN HEALTH PLAN | 108 | $477K |
| Dental | GUARDIAN | 55 | $36K |
| Vision | EYEMED VISION CARE | 61 | $4K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $41K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 22 | $17K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.