| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASR HEALTH BENEFITS3 | — | SIRIUS AMERICA | $72K | — | $72K | 11.00% |
| KAPNICK & COMPANY, INC.3 Filed as: A.E. MOURAD AGENCY, INC. | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | DELTA DENTAL OF MICHIGAN | $16K | — | $16K | 6.63% |
| AE MOURAD AGENCY, INC.3 | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $15K | $729 | $16K | 15.74% |
| KAPNICK & COMPANY, INC.3 Filed as: A.E. MOURAD AGENCY, INC. | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | $657 | $14K | 15.77% |
| KAPNICK & COMPANY, INC.3 | 333 INDUSTRIAL DR ADRIAN, MI 49221 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $2K | $9K | 20.11% |
| KAPNICK & COMPANY, INC.3 Filed as: A.E. MOURAD AGENCY, INC. | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $310 | $7K | 15.69% |
| KAPNICK & COMPANY, INC.3 Filed as: A.E. MOURAD AGENCY, INC. | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $517 | $4K | 11.31% |
| KAPNICK & COMPANY, INC.3 Filed as: A.E. MOURAD AGENCY, INC. | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $243 | $5K | 15.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASR HEALTH BENEFITS EIN 38-2651185 TPA | Contract Administrator Service code 13 | — | $138K |
| EHIM PHARMACY BENEFIT MANAGER EIN 38-2776173 PHARMACY BENEFIT MANAGER | Claims processing; Contract Administrator Service code 12 | — | $14K |
| PHCS EIN 13-3068979 NETWORK | Contract Administrator Service code 13 | — | $10 |
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 | 309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 316 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MICHIGAN | 775 | $247K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 296 | $39K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 309 | $35K |
| Short-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 279 | $132K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 308 | $45K |
| Stop-loss / reinsurancereinsurance | SIRIUS AMERICA | 242 | $653K |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 309 | $134K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 775 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.