| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRICIA HOLLINGSWORTH3 | 111 CONGRESSIONAL BOULEVARD SUITE 100 CARMEL, IN 46032 | BLUE CARE NETWORK OF MICHIGAN | $18K | — | $18K | 1.88% |
| CHRISTOPHER HAGER3 Filed as: CHRISTOPHER A BELTZ | 2055 CROOKS ROAD - LEVEL B ROCHESTER HILLS, MI 48309 | BLUE CARE NETWORK OF MICHIGAN | $383 | — | $383 | 0.04% |
| PATRICIA HOLLINGSWORTH3 | 111 CONGRESSIONAL BOULEVARD SUITE 100 CARMEL, IN 46032 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $14K | — | $14K | 1.84% |
| GLH BENEFITS INC3 | 29755 MACKENZIE CIR W WARREN, MI 48092 | AFLAC | $28K | $41 | $28K | 17.34% |
| MARK A RAYMER3 | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $4K | $8 | $4K | 2.47% |
| LUKE A ROCKWELL3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $2K | $1K | $3K | 1.94% |
| GABRIEL TORREZ3 | 30800 TELEGRAPH RD STE 1950 BINGHAM FARMS, MI 48025 | AFLAC | $3K | $8 | $3K | 1.71% |
| ANNA MARINEZ3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $1K | $639 | $2K | 1.25% |
| ROCKWELL & ASSOCIATES3 Filed as: ROCKWELL & ASSOCIATES LTD | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $1K | $251 | $1K | 0.79% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $763 | $212 | $975 | 0.61% |
| ROBERT J AURIN3 Filed as: ROBERT M LANE | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $556 | — | $556 | 0.35% |
| JOANNA M ROCKWELL3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $333 | $199 | $532 | 0.33% |
| MIKE S GAYNOR3 Filed as: MIKE GAYNOR | 8672 SHORE WAY DR SW BYRON CENTER, MI 49315 | AFLAC | $438 | — | $438 | 0.27% |
| DANIEL A MARINEZ3 Filed as: DANIEL MARINEZ | 303 W ERIE ST STE 400 CHICAGO, IA 60654 | AFLAC | $214 | $63 | $277 | 0.17% |
| K HARRIS & ASSOCIATES, LLC3 Filed as: K HARRIS & ASSOCIATES LLC | 950 W NORTON AVE STD 201 MUSKEGON, MI 49441 | AFLAC | $177 | — | $177 | 0.11% |
| MICHIGAN ACCOUNT SERVICE TEAM INC3 | 2218 RIVER RD STE 200 MARYSVILLE, MI 48040 | AFLAC | $166 | — | $166 | 0.10% |
| STEPHEN A GRACIN3 | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $136 | — | $136 | 0.08% |
| ROGERS BENEFIT GROUP INC3 Filed as: LYNNE ROGERS INC | 2218 RIVER RD STE 200 MARYSVILLE, MA 48040 | AFLAC | $96 | — | $96 | 0.06% |
| ANITA BYERLY3 | 504 PORTER ST LEMONT, IL 60439 | AFLAC | $24 | $53 | $77 | 0.05% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | 360 W ILLINOIS ST APT 9A CHICAGO, IL 60654 | AFLAC | $66 | — | $66 | 0.04% |
| KACY A GRUENKEMEYER3 | 177 RICHLAND HILLS DR MANCHESTER, TN 37355 | AFLAC | $64 | — | $64 | 0.04% |
| DENNIS FENNELL3 Filed as: DENNIS R BELGER | PO BOX 215 NORTH STREET, MI 48049 | AFLAC | $62 | — | $62 | 0.04% |
| AG AND ASSOCIATES3 | 6155 GRAEBEAR TRL EAST LANSING, MI 48823 | AFLAC | $42 | — | $42 | 0.03% |
| ALAN BERGMANN3 | 2144 MADERO DR THE VILLAGES, FL 32159 | AFLAC | $37 | — | $37 | 0.02% |
| ANDREW K GLAUB3 | 6155 GRAEBEAR TRL EAST LANSING, MI 48823 | AFLAC | $33 | — | $33 | 0.02% |
| ROGERS BENEFIT GROUP INC3 Filed as: LYNNE ROGERS INC | 2220 RIVER ROAD STE 200 MARYSVILLE, MI 48040 | AFLAC | $32 | — | $32 | 0.02% |
| CHARLES V GLAUB3 | 1325 OAK HOLLOW DR MILFORD, MA 48380 | AFLAC | $28 | — | $28 | 0.02% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $22 | — | $22 | 0.01% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $22 | — | $22 | 0.01% |
| RICHARD JOHN DERF3 | PO BOX 143 GRAND HAVEN, MI 49417 | AFLAC | $20 | — | $20 | 0.01% |
| KRAIG M SEXTON3 | 9864 E GRAND RIVER AVE STE 110 #292 BRIGHTON, MI 48116 | AFLAC | $19 | — | $19 | 0.01% |
| JONATHAN J MCCAULEY3 | 585 S LAKE ST PO BOX 785 HARRISON, MI 48625 | AFLAC | $16 | — | $16 | 0.01% |
| TLANDA MCDONALD3 | 1855 TIVERTON RD BLOOMFIELD HILLS, MI 48304 | AFLAC | $16 | — | $16 | 0.01% |
| MARK D BARBIER3 | 23 CROYDON LN OAK BROOK, IL 60523 | AFLAC | $12 | — | $12 | 0.01% |
| JAMES C SNIDER JR3 | 457 MANOR RD MAITLAND, FL 32751 | AFLAC | $8 | — | $8 | 0.00% |
| JOSHUA B DEVRIES3 | 110 TREALOUT DR STD 202 FENTON, MI 48430 | AFLAC | $8 | — | $8 | 0.00% |
| RICHARD JOHN DERF3 | PO BO 143 GRAND HAVEN, MI 49417 | AFLAC | $7 | — | $7 | 0.00% |
| TREVOR FENNELL3 Filed as: TREVOR R FENNELL | 11835 QUEENS BLVD STD 1403 FOREST HILLS, NY 11375 | AFLAC | $6 | — | $6 | 0.00% |
| FRANK R BOKOR3 | 755 E 16TH ST APT 101 HOLLAND, MI 49423 | AFLAC | $5 | — | $5 | 0.00% |
| CHRISTOPHER D BOULDREY3 | PO BOX 602 CONCORD, MI 49237 | AFLAC | $5 | — | $5 | 0.00% |
| HEATHER A DOLLIVER3 | 2150 ASSOCIATION DR OKEMOS, MI 48864 | AFLAC | $5 | — | $5 | 0.00% |
| DIANE MARIE JARBOE3 Filed as: DIANE B SANDERS | 1567 ARCHWOOD DR HOLT, MI 48842 | AFLAC | $4 | — | $4 | 0.00% |
| JAMES BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $4 | — | $4 | 0.00% |
| RANDALL L KIMBLER3 | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $3 | — | $3 | 0.00% |
| CHARLES V GLAUB3 | 4404 SAINT ANDREWS ST HOWELL, MI 48843 | AFLAC | $3 | — | $3 | 0.00% |
| ANNIE GLAUB3 | 6155 GRAEBEAR TRL EAST LANSING, MI 48823 | AFLAC | $2 | — | $2 | 0.00% |
| HEIDI E GLAUB3 | 4404 SAINT ANDREWS ST HOWELL, MA 48843 | AFLAC | $1 | — | $1 | 0.00% |
| THOMAS W RINGWALD3 | 37231 N 110TH ST SCOTTSDALE, AZ 85262 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN W PATTEN3 | 120 MARGUERITE DR STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $1 | — | $1 | 0.00% |
| JACQUELINE CASTRO3 Filed as: JACQUELINE S CASTRO | 100 WALL ST FL 28 NEW YORK, NY 10005 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY C WERNER3 | 6370 PINE HOLLOW DR EAST LANSING, MI 48823 | AFLAC | $1 | — | $1 | 0.00% |
| MELISSA K SWAN3 | 6610 HARVEST DR PAPILLION, NE 68133 | AFLAC | $1 | — | $1 | 0.00% |
| JULIE SLAUGHTER3 | 31211 GRANDON ST LIVONIA, MI 48150 | AFLAC | $1 | — | $1 | 0.00% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE, LLC | 111 CONGRESSIONAL BLVD., SUITE 100 CARMEL, IN 46032 | DELTA DENTAL OF MICHIGAN | $3K | — | $3K | 2.72% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE, LLC | 111 CONGRESSIONAL BOULEVARD CARMEL, IN 46032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | — | $8K | 20.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 CAPITAL OF TX HWY S BLDG II, SUITE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $313 | $313 | 0.80% |
| K HARRIS & ASSOCIATES, LLC3 Filed as: K. HARRIS & ASSOCIATES | 950 W. NORTON AVE SUITE 201 MUSKEGON, MI 49441 | CONTINENTAL AMERICAN INSURANCE COMPANY | $829 | — | $829 | 3.33% |
| ROBERT J AURIN3 Filed as: ROBERT M. LANE | 303 W. ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $359 | — | $359 | 1.44% |
| NASCA & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $338 | — | $338 | 1.36% |
| MIDWEST BENEFITS SOLUTIONS, LLC3 Filed as: MIDWEST BENEFITS SOLUTIONS INC. | 303 W. ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $326 | — | $326 | 1.31% |
| MIKE S GAYNOR3 Filed as: MIKE S. GAYNOR | 625 KENMOOR AVE SE SUITE 200 GRAND RAPIDS, MI 49546 | CONTINENTAL AMERICAN INSURANCE COMPANY | $223 | — | $223 | 0.90% |
| MARK D BARBIER3 Filed as: MARK D. BARBIER | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | CONTINENTAL AMERICAN INSURANCE COMPANY | $155 | — | $155 | 0.62% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | 303 WEST ERIE SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $117 | — | $117 | 0.47% |
| TODD DEVOSS3 | 321 N. CLARK STREET SUITE 624 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $30 | — | $30 | 0.12% |
| TREVOR FENNELL3 Filed as: TREVOR R. FENNELL | 133 WEST 22ND STREET NEW YORK, NY 10011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.08% |
| JOSEPH A NASCA3 Filed as: JOSEPH A. NASCA | 28081 MAPLE AVE BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.04% |
| JACQUELINE CASTRO3 | 1133 N. DEARBORN STREET CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE, LLC | 111 CONGRESSIONAL BOULEVARD CARMEL, IN 46032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 20.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 CAPITAL OF TX HWY S BLDG II - SUITE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $224 | $224 | 1.08% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE, LLC | 111 CONGRESSIONAL BOULEVARD CARMEL, IN 46032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 20.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES INC. | 1250 CAPITAL OF TX HWY S BLDG II, SUITE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $109 | — | $109 | 0.75% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE, LLC | 111 CONGRESSIONAL BOULEVARD SUITE 100 CARMEL, IN 46032 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
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 | 280 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 356 | $1.8M |
| Dental | DELTA DENTAL OF MICHIGAN | 407 | $121K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 356 | $739K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 280 | $53K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 29 | $21K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 20 | $14K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 356 | $1.7M |
| Other(3 contracts, 3 carriers) | AFLAC | 280 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 407 | — |
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.