| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | BLUE CARE NETWORK OF MICHIGAN | $97K | $2K | $99K | 3.38% |
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $10K | $4K | $14K | 4.02% |
| KAREN PICCININI Filed as: KAREN SMYK | — | AFLAC | $10K | $164 | $10K | 8.61% |
| PAMELA GRATES | — | AFLAC | $2K | $6 | $2K | 1.58% |
| STEPHEN GRACIN | — | AFLAC | $1K | $38 | $1K | 1.19% |
| RENEE M TRUDEAU Filed as: RENEE TRUDEAU | — | AFLAC | $906 | $32 | $938 | 0.83% |
| DEANNA KIPPER | — | AFLAC | $653 | — | $653 | 0.58% |
| SUSAN MAE DANIEL Filed as: SUSAN TAORMINA | — | AFLAC | $265 | — | $265 | 0.23% |
| CHARLOTTE R SANTA CRUZ Filed as: CHARLOTTE WHEELER | — | AFLAC | $238 | — | $238 | 0.21% |
| MISCILANNEOUS | — | AFLAC | $193 | — | $193 | 0.17% |
| ASSUREDPARTNERS Filed as: JENNIFER VANDERDONCT | — | AFLAC | $161 | — | $161 | 0.14% |
| SUSAN MAE DANIEL Filed as: SUSAN TAORMINA INC. | — | AFLAC | $152 | — | $152 | 0.13% |
| PAUL GLOBAL BENEFITS INC Filed as: PAUL MARTINDALE | — | AFLAC | $135 | — | $135 | 0.12% |
| KACY A GRUENKEMEYER Filed as: KACY GRUENKEMEYER | — | AFLAC | $128 | — | $128 | 0.11% |
| AG AND ASSOCIATES | — | AFLAC | $121 | — | $121 | 0.11% |
| DAVID J MCCLELLAN Filed as: DAVID NAGENGAST | — | AFLAC | $113 | — | $113 | 0.10% |
| JENNIFER GRIFFIN | — | AFLAC | $107 | — | $107 | 0.09% |
| GABRIEL TORREZ | — | AFLAC | $101 | — | $101 | 0.09% |
| LYNDA B MACDONALD Filed as: LYNDA MACDONALD | — | AFLAC | $99 | — | $99 | 0.09% |
| JEANETTE SCHAUB Filed as: JEANETTE FOKSINSKI | — | AFLAC | $96 | — | $96 | 0.08% |
| THOMAS FRAZEE | — | AFLAC | $90 | — | $90 | 0.08% |
| LISA A PERRI Filed as: LISA TAGESON | — | AFLAC | $77 | — | $77 | 0.07% |
| DARLA STILL Filed as: DARLA SANDULA | — | AFLAC | $54 | — | $54 | 0.05% |
| WILLIS TOWERS WATSON US LLC Filed as: ROSE WILLIS | — | AFLAC | $49 | — | $49 | 0.04% |
| SPAN AND GLAUB | — | AFLAC | $43 | — | $43 | 0.04% |
| DAVID J MCCLELLAN Filed as: DAVID KREMER | — | AFLAC | $39 | — | $39 | 0.03% |
| ANDREW JAMIN GRIMSLEY Filed as: ANDREW GALUB | — | AFLAC | $38 | — | $38 | 0.03% |
| NICHOLAS E VIGIL Filed as: NICHOLAS HAMP | — | AFLAC | $37 | — | $37 | 0.03% |
| THE JAMES B OSWALD COMPANY Filed as: JAMES SNIDER | — | AFLAC | $35 | — | $35 | 0.03% |
| LAYNE FINANCIAL INC Filed as: LAYNE LEEPER | — | AFLAC | $33 | — | $33 | 0.03% |
| SHERRY M ALLBRITTON Filed as: SHERRY HUMPHREY | — | AFLAC | $29 | — | $29 | 0.03% |
| STEPHANIE L KESSELRING Filed as: STEPHANIE KESSELRING | — | AFLAC | $28 | — | $28 | 0.02% |
| PAUL MAJEWSKI | — | AFLAC | $24 | — | $24 | 0.02% |
| THOMAS DANKO | — | AFLAC | $20 | — | $20 | 0.02% |
| GOODMAN VENEGAS INSURANCE AGENCY3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | DEARBORN LIFE INSURANCE COMPANY | $15K | $0 | $15K | 14.02% |
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 | 680 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 680 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 680 | $3.3M |
| Dental | BLUE CROSS BLUE SHIELD OF MICHIGAN | 680 | $353K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 680 | $353K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 477 | $110K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 477 | $223K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 477 | $110K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 680 | $3.3M |
| Other | AFLAC | 115 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 680 | — |
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.