| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN | $31K | — | $31K | 1.51% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN | $19K | — | $19K | 1.64% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | DELTA DENTAL OF MICHIGAN | $10K | — | $10K | 2.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $20K | $2K | $22K | 10.97% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | HEALTHPLUS OF MICHIGAN | $3K | — | $3K | 5.39% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | NATIONAL VISION ADMINISTRATORS (NGL) | $2K | — | $2K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $359 | $4K | 10.96% |
| MICHELLE SAVAGE4 | 2927 CHIPPEWA AVE SIMI VALLEY, CA 93603 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $3K | — | $3K | 14.67% |
| ANTHONY P PETRILL4 | 416 MUSTANG TRL CELINA, TX 75009 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $235 | — | $235 | 1.12% |
| ALI C SANDERS4 Filed as: ALI SANDERS | APT 336 37586 FOUNTAIN PARK CIR WESTLAND, MI 48185 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $89 | — | $89 | 0.42% |
| JESSE J MACPHERSON4 | 507 S IRENA AVE REDONDO BEACH, CA 90277 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $58 | — | $58 | 0.28% |
| SCHILLER & ASSOCIATES LLC3 | 173 COTTAGE LN MILFORD, MI 48381 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $47 | — | $47 | 0.22% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 3331 W BIG BEAVER SUITE 200 TROY, MI 48084 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $156 | $2K | 10.91% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 3000 TOWN CENTER SUITE 2900 SOUTHFIELD, MI 48075 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $291 | — | $291 | 15.01% |
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 | 380 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 381 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 441 | $3.4M |
| Dental | DELTA DENTAL OF MICHIGAN | 886 | $325K |
| Vision | NATIONAL VISION ADMINISTRATORS (NGL) | 845 | $40K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 573 | $205K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 380 | $37K |
| Prescription drug(5 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 441 | $3.4M |
| Other(5 contracts, 4 carriers) | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | 940 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 940 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.