| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASR HEALTH BENEFITS3 | — | SIRIUS AMERICA | $96K | — | $96K | 11.00% |
| KAPNICK & COMPANY, INC.3 | 333 INDUSTRIAL DR ADRIAN, MI 49221 | AMERICAN UNITED LIFE INSURANCE COMPANY | $51K | $7K | $57K | 17.52% |
| AE MOURAD AGENCY, INC.3 Filed as: AE MOURAD AGENCY INC. | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | AMERICAN UNITED LIFE INSURANCE COMPANY | $47 | — | $47 | 0.01% |
| AMERICAN UNITED LIFE3 | NOT PROVIDED INDIANAPOLIS, IN 46206 | AMERICAN UNITED LIFE INSURANCE COMPANY | -$47 | — | -$47 | -0.01% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY/AE MOURAD | 1201 BRIARWOOD CIRCLE ANN ARBOR, MI 48108 | DELTA DENTAL OF MICHIGAN | $17K | $412 | $18K | 7.12% |
| KAPNICK & COMPANY, INC.3 | 28277 DEQUINDRE ROAD MADISON HEIGHTS, MI 48071 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $4K | $7K | 20.70% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASR HEALTH BENEFITS EIN 38-2651185 TPA | Contract Administrator Service code 13 | — | $98K |
| EHIM PHARMACY BENEFIT MANAGER EIN 38-2776173 PHARMACY BENEFIT MANAGER | Claims processing; Contract Administrator Service code 12 | — | $11K |
| PHCS EIN 13-3068979 NETWORK | Contract Administrator Service code 13 | — | $34 |
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 | 353 | 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) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MICHIGAN | 665 | $248K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 250 | $34K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 353 | $327K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 353 | $327K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 353 | $327K |
| Stop-loss / reinsurancereinsurance | SIRIUS AMERICA | 197 | $870K |
| Other | AMERICAN UNITED LIFE INSURANCE COMPANY | 353 | $327K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 665 | — |
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.