| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 480831212 | BLUE CARE NETWORK OF MICHIGAN | $35K | $0 | $35K | 1.34% |
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 480831212 | BLUE CROSS BLUESHIELD OF MICHIGAN | $12K | $0 | $12K | 3.01% |
| KAREN PICCININI Filed as: KAREN SMYK | 22260 WINSHALL ST CLAIR SHORES, MI 48081 | AFLAC | $13K | $457 | $13K | 11.10% |
| RENEE M TRUDEAU Filed as: RENEE TRUDEAU | 30229 SCHOENHERR WARREN, MI 48088 | AFLAC | $2K | $100 | $2K | 2.02% |
| STEPHEN GRACIN | 625 E BIG BEAVER TROY, MI 48083 | AFLAC | $1K | $100 | $2K | 1.25% |
| WILLIS TOWERS WATSON US LLC Filed as: ROSE WILLIS | 7055 GIBBONS RD. GRANT TOWNSHIP, MI 48032 | AFLAC | $900 | — | $900 | 0.74% |
| DEANNA KIPPER | 39483 HARRISON BAY CT. HARRISON TWP, MI 48045 | AFLAC | $663 | — | $663 | 0.55% |
| CHARLOTTE R SANTA CRUZ Filed as: CHARLOTTE WHEELER | 61687 MIRIAM DR. WASHINGTON, MI 48094 | AFLAC | $286 | — | $286 | 0.24% |
| SUSAN MAE DANIEL Filed as: SUSAN TAORMINA | 28 1ST ST MOUNT CLEMENS, MI 48043 | AFLAC | $266 | — | $266 | 0.22% |
| JENNIFER VANDERDONCKT | 22248 WINSHALL ST CLAIR SHORES, MI 48081 | AFLAC | $263 | — | $263 | 0.22% |
| DAVID J MCCLELLAN Filed as: DAVID NAGENGAST | 3487 S LINDEN RD FLINT, MI 48507 | AFLAC | $174 | — | $174 | 0.14% |
| GABRIEL TORREZ | 30800TELEGRAPH RD BINGHAM FARMS, MI 48025 | AFLAC | $166 | — | $166 | 0.14% |
| JENNIFER GRIFFIN | 32419 HOLDEN DR. WARREN, MI 48092 | AFLAC | $142 | — | $142 | 0.12% |
| AG AND ASSOCIATES Filed as: AG ASSOCIATES | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $131 | — | $131 | 0.11% |
| KACY A GRUENKEMEYER Filed as: KACY GRUENKEMEYER | 543 ALSTON CHATANOOGA, TN 37419 | AFLAC | $130 | — | $130 | 0.11% |
| SHERRIE HUMPHREY | 28 1ST ST MOUNT CLEMENS, MI 48043 | AFLAC | $83 | $45 | $128 | 0.11% |
| JENNETTE FOKSINSKI | 601 ABBOTT DETROIT, MI 48226 | AFLAC | $120 | — | $120 | 0.10% |
| VARIOUS | — | AFLAC | $87 | — | $87 | 0.07% |
| THOMAS FRAZEE | 26400 LAHSER RD SOUTHFIELD, MI 48033 | AFLAC | $83 | — | $83 | 0.07% |
| DARLA STILL Filed as: DARLA SANDULA | 34706 CENTAUR CLINTON TOWNSHIP, MI 48035 | AFLAC | $67 | — | $67 | 0.06% |
| LYNDA B MACDONALD Filed as: LYNDA MACDONALD | 24584 KINGS POINT NOVI, MI 48375 | AFLAC | $65 | — | $65 | 0.05% |
| THE JAMES B OSWALD COMPANY Filed as: JAMES SNIDER | 457 MANOR MAITLAND, FL 32751 | AFLAC | $64 | — | $64 | 0.05% |
| SPAZ AND GLAUB ENTERPRISES | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $48 | — | $48 | 0.04% |
| ANDREW K GLAUB Filed as: ANDREW GLAUB | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $48 | — | $48 | 0.04% |
| STEPHANIE L KESSELRING Filed as: STEPHANIE KESSELRING | 5434 OAKHURST MILFORD, MI 48380 | AFLAC | $39 | — | $39 | 0.03% |
| NICHOLAS E VIGIL Filed as: NICHOLAS HAMP | 5151 GATEWAY CIRCLE FLINT, MI 48507 | AFLAC | $34 | — | $34 | 0.03% |
| PAUL MAJEWSKI | 483 LITTLE LAKE DR ANN ARBOR, MI 48103 | AFLAC | $29 | — | $29 | 0.02% |
| ARNOLD LOPEZ | 8975 WARM SPRINGS RD LAS VEGAS, NV 89148 | AFLAC | $27 | — | $27 | 0.02% |
| LYNDA B MACDONALD Filed as: LYNDA MACDONALD | 28655 OAKMONTE NEW HUDSON, MI 48165 | AFLAC | $26 | — | $26 | 0.02% |
| THOMAS DANKO | 71550 ELDRED BRUCE TOWNSHIP, MI 48065 | AFLAC | $25 | — | $25 | 0.02% |
| DONNA ROSS SMITH Filed as: DONNA TAACK | 12305 MERRILL RD BRANT, MI 48614 | AFLAC | $18 | — | $18 | 0.01% |
| HEATHER DOLLIVER | 2150 ASSOCIATION DR OKEMOS, MI 48864 | AFLAC | $17 | — | $17 | 0.01% |
| RANDALL D LADNER Filed as: RANDALL KIMBLER | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $14 | — | $14 | 0.01% |
| DAVID J MCCLELLAN Filed as: DAVID WHITFIELD | 29193 NORTHWESTERN HIGHWAY SOUTHFIELD, MI 48034 | AFLAC | $14 | — | $14 | 0.01% |
| CHRISTOPHER D BOULDREY Filed as: CHRISTOPHER BOULDRY | PO BOX 602 CONCORD, MI 49237 | AFLAC | $14 | — | $14 | 0.01% |
| ALAN BERGMANN | 461 COKESBURY THE VILLAGES, FL 32162 | AFLAC | $12 | — | $12 | 0.01% |
| GREG W WOOLLEY Filed as: GREG BEST | 3487 LINDEN RD. FLINT, MI 48507 | AFLAC | $11 | — | $11 | 0.01% |
| JAMES BULLOCK | 3715 POWDERHORN OKEMOS, MI 48864 | AFLAC | $10 | — | $10 | 0.01% |
| JEFFREY C WERNER Filed as: JEFFREY WERNER | 6370 PINE HOLLOW EAST LANSING, MI 48823 | AFLAC | $10 | — | $10 | 0.01% |
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 480831215 | DEARBORN LIFE INSURANCE COMPANY | $13K | $0 | $13K | 14.56% |
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 | 549 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 549 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 690 | $3.0M |
| Dental | BLUE CROSS BLUESHIELD OF MICHIGAN | 690 | $396K |
| Vision | BLUE CROSS BLUESHIELD OF MICHIGAN | 690 | $396K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 549 | $87K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 549 | $208K |
| Long-term disability(2 contracts, 2 carriers) | AFLAC | 549 | $208K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 690 | $3.0M |
| Other(2 contracts, 2 carriers) | AFLAC | 549 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 690 | — |
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.