| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STACEY A DUNBAR3 | 37 W BROAD ST 7TH FLOOR COLUMBUS, OH 43215 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $11K | — | $11K | 2.24% |
| JASON GLIME3 | 32600 TELEGRAPH RD STE 200 BINGHAM FARMS, MI 48025 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $5K | — | $5K | 1.05% |
| HUNTINGTON INSURANCE INC3 | 519 MADISON AVENUE TOLEDO, OH 43604 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $470 | $470 | 0.10% |
| STACEY A DUNBAR3 | 37 W BROAD ST 7TH FLOOR COLUMBUS, OH 43215 | BLUE CARE NETWORK OF MICHIGAN | $4K | — | $4K | 2.14% |
| JASON GLIME3 | 32600 TELEGRAPH RD STE 200 BINGHAM FARMS, MI 48025 | BLUE CARE NETWORK OF MICHIGAN | $1K | — | $1K | 0.77% |
| HUNTINGTON INSURANCE INC3 | 37 W BROAD ST FL 7 COLUMBUS, OH 43215 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $809 | $4K | 12.37% |
| MARSHBERRY CONNECT PLATFORM LLC3 | 28601 CHAGRIN BLVD STE 400 WOODMERE, OH 44122 | PRINCIPAL LIFE INSURANCE COMPANY | — | $194 | $194 | 0.54% |
| HUNTINGTON INSURANCE INC3 | 37 WEST BROAD STREET 7TH FL COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $174 | — | $174 | 9.99% |
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $87 | $87 | 4.99% |
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 | 107 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 74 | $679K |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 74 | $679K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 74 | $493K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $37K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 100 | $36K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 100 | $36K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 74 | $679K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 106 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.