| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOSEPH KING3 | 1707 W BIG BEAVER ROAD TROY, MI 48084 | PRIORITY HEALTH | $42K | — | $42K | 4.00% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W BIG BEAVER ROAD TROY, MI 48084 | DELTA DENTAL OF MICHIGAN | $10K | — | $10K | 10.11% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $272 | $2K | 9.19% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $261 | $2K | 9.30% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $216 | $2K | 9.23% |
| TIMBERLAND GROUP SERVICES, INC.0 | 1707 W. BIG BEAVER RD. TROY, MI 48084 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE COMPA | $1K | — | $1K | 10.02% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $795 | $168 | $963 | 9.69% |
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 | 123 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRIORITY HEALTH | 213 | $1.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 230 | $100K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE COMPA | 230 | $13K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $18K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 123 | $23K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 123 | $20K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 216 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.