| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT V. WEILAND3 Filed as: ROBERT VICTOR WIELAND II | 333 INDUSTRIAL DRIVE ADRIAN, MI 492217801 | BLUE CARE NETWORK OF MICHIGAN | $21K | — | $21K | 3.31% |
| KAPNICK & COMPANY, INC.3 | 1201 BRIARWOOD CIRCLE ANN ARBOR, MI 481081690 | BLUE CARE NETWORK OF MICHIGAN | — | $589 | $589 | 0.09% |
| ROBERT V. WEILAND3 Filed as: ROBERT VICTOR WIELAND II | 333 INDUSTRIAL DRIVE ADRIAN, MI 492217801 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $4K | — | $4K | 3.24% |
| KAPNICK & COMPANY, INC.3 | PO BOX 1801 ADRIAN, MI 492219221 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $71 | $71 | 0.05% |
| KAPNICK & COMPANY, INC.3 | 1201 BRIARWOOD CIRCLE ANN ARBOR, MI 48108 | DELTA DENTAL OF MICHIGAN | $6K | — | $6K | 10.08% |
| JILL E. GLEBA3 | 5435 CORPORATE DRIVE SUITE 230 TROY, MI 48085 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 8.63% |
| KAPNICK & COMPANY, INC.3 | P.O. BOX 1801 ADRIAN, MI 49221 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $229 | $2K | 7.26% |
| JILL E. GLEBA3 | 5435 CORPORATE DRIVE SUITE 230 TROY, MI 48085 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 9.93% |
| KAPNICK & COMPANY, INC.3 | P.O. BOX 1801 ADRIAN, MI 49221 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $612 | $82 | $694 | 5.75% |
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 | 162 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 169 | $786K |
| Dental | DELTA DENTAL OF MICHIGAN | 146 | $63K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 152 | $12K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 16 | $27K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 169 | $786K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 152 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 169 | — |
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."
No prospect flags tripped on this filing.