| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CARE NETWORK OF MICHIGAN | $28K | — | $28K | 4.44% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK INSURANCE & CO., INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $11K | — | $11K | 3.74% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC. | PO BOX 1801 ADRIAN, MI 49221 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $16K | $9K | $25K | 12.57% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CARE NETWORK OF MICHIGAN | $9K | — | $9K | 4.44% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK INSURANCE & CO., INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $5K | — | $5K | 3.71% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CARE NETWORK OF MICHIGAN | $5K | — | $5K | 4.37% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK INSURANCE & CO., INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $1K | — | $1K | 3.70% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CARE NETWORK OF MICHIGAN | $841 | — | $841 | 4.15% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK INSURANCE & CO., INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $595 | — | $595 | 3.70% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK INSURANCE & CO., INC. | PO BOX 1801 ADRIAN, MI 49221 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $437 | — | $437 | 3.52% |
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 | 254 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 254 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 127 | $1.4M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $197K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $197K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $197K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $197K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $197K |
| Prescription drug(9 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 127 | $1.4M |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.