| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHEN GRACIN3 Filed as: STEPHEN J PECK | 769 CHICAGO RD TROY, MI 480838083 | BLUE CARE NETWORK OF MICHIGAN | $28K | — | $28K | 1.48% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND COMPANY INC | PO BOX 1801 ADRIAN, MI 492219221 | BLUE CARE NETWORK OF MICHIGAN | — | $2K | $2K | 0.10% |
| STEPHEN GRACIN3 Filed as: STEPHEN J PECK | 769 CHICAGO RD TROY, MI 480838083 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $14K | — | $14K | 1.50% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND COMPANY INC | PO BOX 1801 ADRIAN, MI 492219221 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $1K | $1K | 0.15% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY | 1201 BRIARWOOD CIR ANN ARBOR, MI 48108 | EMPLOYEE HEALTH INSURANCE MANAGEMENT INC | $25K | — | $25K | 3.57% |
| CATHERINE HILTZ3 | 769 CHICAGO AVE TROY, MI 48084 | DEARBORN LIFE INSURANCE COMPANY | $30K | — | $30K | 11.69% |
| KAPNICK & COMPANY, INC.3 | 1201 BRIARWOOD CIRCLE ANN ARBOR, MI 48108 | DELTA DENTAL OF MICHIGAN | $26K | — | $26K | 10.37% |
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 | 409 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 411 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 448 | $3.5M |
| Dental | DELTA DENTAL OF MICHIGAN | 591 | $246K |
| Vision(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 448 | $2.8M |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 409 | $252K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 409 | $252K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 409 | $252K |
| Prescription drug(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 448 | $3.5M |
| Other | DEARBORN LIFE INSURANCE COMPANY | 409 | $252K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 591 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.