| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDREW SCHEIDT3 | 811 MADISON AVENUE, SUITE 3 TOLEDO, OH 43604 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $50K | $0 | $50K | 0.97% |
| LAURIE ELIZABETH RIEGLE3 | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $41K | $4K | $46K | 0.88% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | EIGHT CADILLAC DRIVE BRENTWOOD, TN 37027 | DELTA DENTAL OF MICHIGAN | $10K | $0 | $10K | 1.84% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, 4TH FLOOR ROLLING MEADOWS, IL 60008 | DELTA DENTAL OF MICHIGAN | $7K | $0 | $7K | 1.16% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVENUE TOLEDO, OH 43604 | KAISER FOUNDATION HEALTH PLAN INC | $18K | $0 | $18K | 3.53% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | KAISER FOUNDATION HEALTH PLAN INC | $9K | $0 | $9K | 1.82% |
| ARMSTRONG, DOYLE & CARROLL, INC.3 Filed as: ARMSTRONG ROBITAILLE RIEGLE, INC. | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | KAISER FOUNDATION HEALTH PLAN INC | $6K | $0 | $6K | 1.23% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 24 FRANK LLOYD WRIGHT DRIVE SUITE J4100 ANN ARBOR, MI 48105 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | $0 | $10K | 2.66% |
| ARMSTRONG, DOYLE & CARROLL, INC.3 Filed as: ARMSTRONG ROBITAILLE RIEGLE, INC. | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | $0 | $8K | 2.10% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 7077 BONNEVAL ROAD, SUITE 550 JACKSONVILLE, FL 32216 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 0.46% |
| ANDREW SCHEIDT3 | 811 MADISON AVENUE, SUITE 3 TOLEDO, OH 43604 | BLUE CARE NETWORK OF MICHIGAN | $1K | $0 | $1K | 1.24% |
| LAURIE ELIZABETH RIEGLE3 | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | BLUE CARE NETWORK OF MICHIGAN | $1K | $143 | $1K | 0.98% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 24 FRANK LLOYD WRIGHT DRIVE SUITE J4100 ANN ARBOR, MI 48105 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $4K | $0 | $4K | 6.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $3K | $0 | $3K | 5.42% |
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 | 438 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 453 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,114 | $5.8M |
| Dental | DELTA DENTAL OF MICHIGAN | 1,282 | $569K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 1,245 | $63K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 470 | $376K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 470 | $376K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 470 | $376K |
| Prescription drug(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,114 | $5.8M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 470 | $381K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,282 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.