| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN INC. | 32255 NORTHWESTERN HWY SUITE 201 FARMINGTON HILLS, MI 48334 | BLUE CARE NETWORK OF MICHIGAN | $34K | — | $34K | 1.55% |
| RAYMOND D DEWEY3 Filed as: RAYMOND D. DEWEY | 333 BRIDGE STREET NW SUITE 710 GRAND RAPIDS, MI 49504 | PRIORITY HEALTH | $17K | — | $17K | 2.99% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN INC. | PO BOX 416719 BOSTON, MA 02241 | METROPOLITAN LIFE INSURANCE COMPANY | $18K | $8K | $27K | 6.61% |
| RAYMOND D DEWEY3 | 333 BRIDGE ST NW SUITE 710 GRAND RAPIDS, MI 49504 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $18K | — | $18K | 4.45% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN | 32255 N. WESTERN HWY SUITE 201 FARMINGTON HILLS, MI 48334 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $428 | $428 | 0.11% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN INC. | 32255 NORTHWESTERN HWY SUITE 201 FARMINGTON HILLS, MI 48334 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $53K | $10K | $63K | 17.81% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN INC. | ONE TOWN SQUARE SUITE 800 SOUTHFIELD, MI 48086 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $2K | $6K | 5.56% |
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 | 541 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 559 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 553 | $3.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 966 | $404K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 342 | $99K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 541 | $353K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 541 | $353K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 541 | $353K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 553 | $2.2M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 541 | $353K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 966 | — |
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.