| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RYAN J. HARRIS Filed as: RYAN J HARRIS | 2929 SPRING ARBOR RD JACKSON, MI 49203 | PRIORITY HEALTH | $23K | — | $23K | 2.26% |
| CHRISTOPHER M BOUSCHET Filed as: CHRISTOPHER BOUSCHET | 755 W BIG BEAVER RD TROY, MI 48084 | PRIORITY HEALTH | $8K | — | $8K | 0.74% |
| WALTON AGENCY, INC. Filed as: WALTON AGENCY | 2929 SPRING ARBOR RD PO BOX 3029 JACKSON, MI 49204 | DELTA DENTAL OF MICHIGAN | $2K | $0 | $2K | 3.16% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH & MCLENNAN AGENCY, LLC | 6160 GOLDEN HILLS DR MINNEAPOLIS, MN 55416 | DELTA DENTAL OF MICHIGAN | $2K | $0 | $2K | 2.57% |
| WALTON AGENCY, INC.3 Filed as: WALTON AGENCY INC | 2929 SPRING ARBOR RD PO BOX 3029 JACKSON, MI 49203 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 9.40% |
| MMA SERVICE CORP3 Filed as: MMA SERVICE CORP. | 620 S CAPITOL AVE LANSING, MI 48933 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 161 WASHINGTON ST STE 1200 CONSHOHOCKEN, PA 19428 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 2.67% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE STE 400 PARK 80 PLAZA 2 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $126 | $126 | 0.23% |
| WALTON AGENCY, INC. Filed as: WALTON AGENCY INC | 2929 SPRING ARBOR RD JACKSON, MI 49203 | AMERITAS LIFE INSURANCE CORP | $756 | $0 | $756 | 5.84% |
| MARSH & MCLENNAN AGENCY LLC | 755 W BIG BEAVER RD STE 2300 TROY, MI 48084 | AMERITAS LIFE INSURANCE CORP | $538 | $0 | $538 | 4.16% |
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 | 80 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 82 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRIORITY HEALTH | 173 | $1.0M |
| Dental | DELTA DENTAL OF MICHIGAN | 176 | $67K |
| Vision | AMERITAS LIFE INSURANCE CORP | 136 | $13K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 100 | $54K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 100 | $54K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 100 | $54K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 100 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.