| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | BLUE CARE NETWORK OF MICHIGAN | $35K | $5K | $40K | 1.52% |
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $10K | $55 | $10K | 2.96% |
| KAREN PICCININI Filed as: KAREN SMYK | 22260 WINSHALL ST CLAIR SHORES, MI 48081 | AFLAC | $10K | $607 | $11K | 8.62% |
| RENEE M TRUDEAU Filed as: RENEE TRUDEAU | 30229 SCHOENHERR RD SUITE 100 WARREN, MI 48088 | AFLAC | $2K | $121 | $2K | 1.59% |
| STEPHEN GRACIN | 625 E BIG BEAVER SUITE103 TROY, MI 48083 | AFLAC | $822 | $8 | $830 | 0.66% |
| DEANNA KIPPER | 39483 HARRISON BAY. CT HARRISON TWP., MI 48045 | AFLAC | $828 | $0 | $828 | 0.66% |
| SHERRIE HUMPHREY | 28 1ST STREET MOUNT CLEMENS, MI 48043 | AFLAC | $629 | $0 | $629 | 0.50% |
| DAVID J MCCLELLAN Filed as: DAVID NAGENGAST | 3487 S LINDEN RD SUITE Z FLINT, MI 48507 | AFLAC | $439 | — | $439 | 0.35% |
| GABRIEL TORREZ Filed as: GABRIEL TORRES | 30800TELEGRAPH SUITE 1950 BINGHAM FARMS, MI 48025 | AFLAC | $324 | $113 | $437 | 0.35% |
| JENNIFER VANDERDONCKT | 22248 WINSHALL ST CLAIR SHORES, MI 48081 | AFLAC | $387 | — | $387 | 0.31% |
| CHARLOTTE R SANTA CRUZ Filed as: CHARLOTTE WHEELER | 61687 MIRIAM WASHINGTON, MI 48094 | AFLAC | $312 | — | $312 | 0.25% |
| SUSAN MAE DANIEL Filed as: SUSAN TAORMINA | 28 1ST ST MOUNT CLEMENS, MI 48043 | AFLAC | $305 | — | $305 | 0.24% |
| JENNIFER GRIFFIN | 32419 HOLDEN DR WARREN, MI 48092 | AFLAC | $184 | — | $184 | 0.15% |
| AG AND ASSOCIATES | 6155 GRAEBEAR TRAIL EAST LANSING, MI 48823 | AFLAC | $166 | — | $166 | 0.13% |
| KACY A GRUENKEMEYER Filed as: KACY GRUENKEMEYER | 177 RICHLAND HILLS MANCHESTER, TN 37355 | AFLAC | $148 | — | $148 | 0.12% |
| THOMAS FRAZEE | 5318 HIDDEN PINES CT BRIGHTON, MI 48116 | AFLAC | $114 | — | $114 | 0.09% |
| LYNDA B MACDONALD Filed as: LYNDA MACDONALD | 28655 OAKMONTE CIR W NEW HUDSON, MI 48165 | AFLAC | $105 | — | $105 | 0.08% |
| JEANNETTE E FATHERREE Filed as: JEANNETTE STAPLETON | 27735 JEFFERSON AVE ST CLAIR SHORES, MI 48081 | AFLAC | $102 | — | $102 | 0.08% |
| STEPHANIE L KESSELRING Filed as: STEPHANIE KESSELRING | 3141 ROLLING GREEEN CT MILFORD, MI 48380 | AFLAC | $86 | — | $86 | 0.07% |
| THE JAMES B OSWALD COMPANY Filed as: JAMES SNIDER | 457 MANOR RD MAITLAND, FL 32751 | AFLAC | $81 | — | $81 | 0.06% |
| DARLA SANDUAL | 34706 CENTAUR DR CLINTON TWP, MI 48035 | AFLAC | $78 | — | $78 | 0.06% |
| ANDREW JAMIN GRIMSLEY Filed as: ANDREW GALUB | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $63 | — | $63 | 0.05% |
| SPAZ AND GLAUB ENTERPRISES | 1161 HERITAGE CT SUN PRARIE, WI 53590 | AFLAC | $62 | — | $62 | 0.05% |
| JEANNETTE E FATHERREE Filed as: JEANNETTE FOKSINSKI | 601 ABBOTT ST DETROIT, MI 48226 | AFLAC | $50 | — | $50 | 0.04% |
| MJ INSURANCE Filed as: VARIOUS AGENTS | 26834 LAWRENCE CENTER LINE, MI 48015 | AFLAC | $47 | — | $47 | 0.04% |
| THOMAS DANKO | 2030 34 MILE RD BRUCE TWP, MI 48065 | AFLAC | $41 | — | $41 | 0.03% |
| NICHOLAS E VIGIL Filed as: NICHOLAS HAMP | 5151 GATEWAY CENTER SUITE 200 FLINT, MI 48507 | AFLAC | $38 | — | $38 | 0.03% |
| PAUL MAJEWSKI | 483 LITTLE LAKE DR SUITE 100 ANN ARBOR, MI 48103 | AFLAC | $32 | — | $32 | 0.03% |
| ARNOLDO LOPEZ | 8975 W FARM SPRINGS RD 6-2038 LAS VEGAS, NV 89148 | AFLAC | $29 | — | $29 | 0.02% |
| GREG W WOOLLEY Filed as: GREG BEST | 3487 S LINDEN RD SUITE Z FLINT, MI 48507 | AFLAC | $25 | — | $25 | 0.02% |
| ALAN J ZUCCARI INC Filed as: ALAN BERGMAN | 2144 MADERO DR THE VILLAGES, FL 32159 | AFLAC | $25 | — | $25 | 0.02% |
| HEATHER DOLLIVER | 2150 ASSOCIATION DR OKEMOS, MI 48864 | AFLAC | $21 | — | $21 | 0.02% |
| LARRY D DENNY Filed as: LARRY KESSELRING | 5879 FORESTAL WATERFORD, MI 48327 | AFLAC | $19 | — | $19 | 0.02% |
| DONNA RE TAACK Filed as: DONNA RETAACK | 12305 S MERRILL RD BRANT, MI 48614 | AFLAC | $19 | — | $19 | 0.02% |
| RANDALL D LADNER Filed as: RANDALL KIMBLER | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $19 | — | $19 | 0.02% |
| CHRISTOPHER D BOULDREY Filed as: CHRISTOPHER BOULDREY | PO BOX 602 CONCORD, MI 49237 | AFLAC | $17 | — | $17 | 0.01% |
| JAMES BULLOCK | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $13 | — | $13 | 0.01% |
| JEFFREY C WERNER Filed as: JEFFREY WERNER | 6370 PINE HOLLOW DR EAST LANSING, MI 48823 | AFLAC | $13 | — | $13 | 0.01% |
| HEIDI E GLAUB Filed as: HEIDI GLAUB | 4404 SAINT ANDREWS ST HOWELL, MI 48843 | AFLAC | $12 | — | $12 | 0.01% |
| BRADLEY J LOWRAN Filed as: BRADLEY LOWRAN | 9553 WALKABOUT LN TRAVERSE CITY, MI 49684 | AFLAC | $11 | — | $11 | 0.01% |
| ANNIE GLAUB | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $10 | — | $10 | 0.01% |
| KRAIG SEXTON | 9864 E GRAND RIVER SUITE 110 BRIGHTON, MI 48116 | AFLAC | $8 | — | $8 | 0.01% |
| MICHAEL C WALKER Filed as: MICHAEL TRUDEAU | 30229 SCHOENHERR RD SUITE 100 WARREN, MI 48088 | AFLAC | $6 | — | $6 | 0.00% |
| THOMAS W BOSTON Filed as: THOMAS RINGWALD | 38231 N 110TH ST SCOTTSDALE, AZ 85262 | AFLAC | — | — | $0 | 0.00% |
| GOODMAN VENEGAS INSURANCE AGENCY3 | 2800 LIVERNOIS RD SUITE 180 TROY, MI 48083 | DEARBORN NATIONAL | $15K | $0 | $15K | 14.71% |
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 | 734 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 734 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 734 | $2.9M |
| Dental(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 734 | $2.9M |
| Vision(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 734 | $2.9M |
| Life insurance | DEARBORN NATIONAL | 529 | $99K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 529 | $225K |
| Long-term disability | DEARBORN NATIONAL | 529 | $99K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 734 | $2.9M |
| Other(2 contracts, 2 carriers) | AFLAC | 529 | $225K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 734 | — |
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.