| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMY J HALL3 Filed as: AMY HALL | 423 N MAIN ST ROYAL OAK, MI 48067 | BLUE CARE NETWORK OF MICHIGAN | $41K | — | $41K | 3.19% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF MICHIGAN LLC DB | 13900 LAKESIDE CIRCLE STERLING HEIGHTS, MI 48313 | BLUE CARE NETWORK OF MICHIGAN | — | $2K | $2K | 0.13% |
| AMY J HALL3 Filed as: AMY HALL | 423 N MAIN STREET ROYAL OAK, MI 48067 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $17K | — | $17K | 2.94% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF MICHIGAN LLC DB | 13900 LAKESIDE CIRCLE STERLING HEIGHTS, MI 48313 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $292 | $292 | 0.05% |
| ASSUREDPARTNERS Filed as: ASSURED PARTNERS OF MICHIGAN LLC DB | 25900 W 11 MILE RD STERLING HEIGHTS, MI 48084 | STARMOUNT LIFE INSURANCE COMPANY | $13K | $2K | $15K | 15.12% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF MICHIGAN LLC DB | 25900 W 11 MILE RD SOUTHFIELD, MI 48034 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $621 | $4K | 14.95% |
| MASTER UNUM ENROLL3 Filed as: UNUM LIFE INSURANCE COMPANY OF AMER | 25900 W 11 MILE RD SOUTHFIELD, MI 48034 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $326 | $2K | 15.00% |
| ASSUREDPARTNERS Filed as: ASSURED PARTNERS OF MICHIGAN LLC DB | 25900 W 11 MILE RD STE 210 SOUTHFIELD, MI 48034 | EYEMED VISION CARE | $1K | — | $1K | 10.13% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF MICHIGAN LLC DB | 25900 W 11 MILE RD SOUTHFIELD, MI 48034 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $500 | $125 | $625 | 10.72% |
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 | 133 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 184 | $1.9M |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 157 | $101K |
| Vision | EYEMED VISION CARE | 247 | $15K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $35K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 26 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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.