| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANGELA M DEAN3 | 333 INDUSTRIAL DR ADRIAN, MI 492217801 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $31K | — | $31K | 2.75% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC | 333 INDUSTRIAL DR ADRIAN, MI 492489248 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $2K | $2K | 0.18% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC | 333 INDUSTRIAL DR ADRIAN, MI 492218780 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $190 | $10K | 8.34% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK & COMPANY INC | PO BOX 1801 ADRIAN, MI 492217801 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | — | $4K | 4.79% |
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 | 202 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 194 | $1.1M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 222 | $75K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 389 | $119K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 389 | $119K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 389 | $119K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 389 | $119K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 194 | $1.1M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 389 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 389 | — |
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.