| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAURIE ELIZABETH RIEGLE3 | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | BLUE CARE NETWORK OF MICHIGAN | $24K | $1K | $25K | 3.35% |
| ARMSTRONG, DOYLE & CARROLL, INC.3 Filed as: ARMSTRONG ROBITAILLE RIEGLE | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $0 | $6K | 7.84% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.91% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $377 | $377 | 0.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.14% |
| ARMSTRONG, DOYLE & CARROLL, INC.3 Filed as: ARMSTRONG ROBITAILLE RIEGLE | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | PRINCIPAL LIFE INSURANCE COMPANY | $729 | $0 | $729 | 1.28% |
| LAURIE ELIZABETH RIEGLE3 | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $509 | $21 | $530 | 2.89% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $537 | $0 | $537 | 5.76% |
| ARMSTRONG, DOYLE & CARROLL, INC.3 Filed as: ARMSTRONG/ROBITAILLE/RIEGLE | 100 NORTH FOURTH AVENUE ANN ARBOR, MI 48104 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $378 | $0 | $378 | 4.05% |
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 | 213 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 159 | $763K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 154 | $57K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 150 | $9K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $73K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $73K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $73K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 159 | $763K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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.