| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DEAN, ANGELA3 | 333 INDUSTRIAL DR ADRIAN, MI 49221 | PRIORITY HEALTH | $20K | $0 | $20K | 3.70% |
| MCLAUGHLAN, REBECCA3 | 755 W BIG BEAVER RD STE 2300 TROY, MI 48084 | PRIORITY HEALTH | $2K | $0 | $2K | 0.30% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC | 333 INDUSTRIAL DR ADRIAN, MI 49221 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | $11K | $25K | 16.04% |
| MARSH & MCLENNAN AGENCY LLC3 | 755 W BIG BEAVER RD STE 2300 TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.62% |
| KAPNICK & COMPANY, INC.3 | 1201 BRIARWOOD CR. ANN ARBOR, MI 48108 | DELTA DENTAL OF MICHIGAN | $4K | $0 | $4K | 5.33% |
| MICHIGAN CHAMBER SERVICES, INC.3 | 600 S WALNUT ST LANSING, MI 48933 | DELTA DENTAL OF MICHIGAN | $2K | $0 | $2K | 2.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | DELTA DENTAL OF MICHIGAN | $362 | $0 | $362 | 0.48% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 6160 GOLDEN HILLS DR MINNEAPOLIS, MN 55416 | DELTA DENTAL OF MICHIGAN | $361 | $0 | $361 | 0.48% |
| MICHIGAN CHAMBER SERVICES, INC.3 Filed as: MICHIGAN CHAMBER SERVICES INC. | 600 S WALNUT ST LANSING, MI 48933 | VISION SERVICE PLAN | $3K | $0 | $3K | 16.66% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND CO. INC | 333 INDUSTRIAL DR ADRIAN, MI 49221 | VISION SERVICE PLAN | $809 | $0 | $809 | 4.26% |
| MARSH & MCLENNAN AGENCY LLC3 | 33213 COLLECTION CENTER DR CHICAGO, IL 60693 | VISION SERVICE PLAN | $71 | $0 | $71 | 0.37% |
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 | 174 | 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) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRIORITY HEALTH | 92 | $539K |
| Dental | DELTA DENTAL OF MICHIGAN | 168 | $75K |
| Vision | VISION SERVICE PLAN | 100 | $19K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $156K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $156K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $156K |
| Prescription drug | PRIORITY HEALTH | 92 | $539K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $156K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 199 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.