| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRICIA HOLLINGSWORTH3 | 111 CONGRESSIONAL BLVD STE 100 03 CARMEL, IN 460326032 | BLUE CARE NETWORK OF MICHIGAN | $18K | $0 | $18K | 3.53% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 460326032 | BLUE CARE NETWORK OF MICHIGAN | $0 | $3K | $3K | 0.61% |
| PATRICIA HOLLINGSWORTH3 | 111 CONGRESSIONAL BLVD STE 100 03 CARMEL, IN 460326032 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $17K | $0 | $17K | 3.35% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 460326032 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $3K | $3K | 0.51% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE | 101 E MAIN ST CENTERVILLE, IN 473301205 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $0 | $9K | 11.51% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 194222240 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $5K | $5K | 6.50% |
| JULIE A HOLDERNESS3 | 633 MOUNTAIN CIR ROCHESTER HILLS, MI 48306 | AFLAC | $4K | $331 | $5K | 6.65% |
| MARK A RAYMER3 | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $3K | $116 | $3K | 3.90% |
| STEPHEN A GRACIN3 | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $945 | $86 | $1K | 1.51% |
| GARY HUEBLER3 | 29755 MACKENZIE CIRCLE W WARREN, MI 48092 | AFLAC | $604 | $0 | $604 | 0.88% |
| LUKE A ROCKWELL3 | 325 W HURON ST STE 215 CHICAGO, IL 60654 | AFLAC | $195 | $0 | $195 | 0.29% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH WASEMILLER | 37766 DEVOE ST CLINTON TOWNSHIP, MI 48036 | AFLAC | $154 | $0 | $154 | 0.23% |
| ANNA MARINEZ3 | 325 W HURON ST STE 215 CHICAGO, IL 60654 | AFLAC | $115 | $0 | $115 | 0.17% |
| GARY HUEBLER3 | 29755 MACKENZIE CIR W WARREN, MI 48092 | AFLAC | $111 | $0 | $111 | 0.16% |
| GABRIEL G TORREZ3 | 30800 TELEGRAPH RD STE 1950 BINGHAM FARMS, MI 48025 | AFLAC | $108 | $0 | $108 | 0.16% |
| ROGERS BENEFIT GROUP INC3 Filed as: SCOTT E ROGERS | 2218 RIVER RD STE 200 MARYSVILLE, MI 48040 | AFLAC | $81 | $0 | $81 | 0.12% |
| JOANNA M ROCKWELL3 Filed as: JOANNA M NASCA | 350 N LA SALLE DR STE 1410 CHICAGO, IL 60654 | AFLAC | $74 | $0 | $74 | 0.11% |
| ROCKWELL & ASSOCIATES3 Filed as: ROCKWELL & ASSOCIATES LTD | 325 W HURON ST STE 215 CHICAGO, IL 60654 | AFLAC | $74 | $0 | $74 | 0.11% |
| JULIE SLAUGHTER3 Filed as: JULIE M SLAUGHTER | 31211 GRANDON ST LIVONIA, MI 48150 | AFLAC | $59 | $0 | $59 | 0.09% |
| AG AND ASSOCIATES3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $54 | $0 | $54 | 0.08% |
| ROGERS BENEFIT GROUP INC3 Filed as: LYNNE ROGERS INC | 2218 RIVER RD STE 200 MARYSVILLE, MI 48040 | AFLAC | $49 | $0 | $49 | 0.07% |
| JOANNA M ROCKWELL3 | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $38 | $0 | $38 | 0.06% |
| ROBERT J AURIN3 Filed as: ROBERT M LANE | 303 W ERIE ST STE 400 CHICAGO, IL 60654 | AFLAC | $35 | $0 | $35 | 0.05% |
| KACY A GRUENKEMEYER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $33 | $0 | $33 | 0.05% |
| DENNIS FENNELL3 Filed as: DENNIS R BELGER | PO BOX 215 NORTH STREET, MI 48049 | AFLAC | $31 | $0 | $31 | 0.05% |
| MIKE S GAYNOR3 Filed as: MIKE GAYNOR | 8672 SHORE WAY DR SW BYRON CENTER, MI 49315 | AFLAC | $29 | $0 | $29 | 0.04% |
| DANIEL A MARINEZ3 | 325 W HURON ST STE 215 CHICAGO, IL 60654 | AFLAC | $24 | $0 | $24 | 0.04% |
| RICHARD JOHN DERF3 | PO BOX 143 GRAND HAVEN, MI 49417 | AFLAC | $17 | $0 | $17 | 0.02% |
| ANDREW K GLAUB3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $17 | $0 | $17 | 0.02% |
| KRAIG M SEXTON3 | 9864 E GRAND RIVER AVE STE 110 PMB 292 BRIGHTON, MI 48116 | AFLAC | $16 | $0 | $16 | 0.02% |
| TLANDA MCDONALD3 | 1855 TIVERTON RD BLOOMFIELD HILLS, MI 48304 | AFLAC | $15 | $0 | $15 | 0.02% |
| ALAN BERGMANN3 Filed as: ALAN W BERGMANN | 461 COKESBURY DR THE VILLAGES, FL 32162 | AFLAC | $14 | $0 | $14 | 0.02% |
| KEITH LOZAR3 | 18616 RUTH ST MELVINDALE, MI 48122 | AFLAC | $12 | $0 | $12 | 0.02% |
| KYLE J HARRIS3 | 18591 AZTEC DR SPRING LAKE, MI 49456 | AFLAC | $11 | $0 | $11 | 0.02% |
| STEPHANIE L KESSELRING3 | 3059 MOUNTAIN LAUREL TRL CANTONMENT, FL 32533 | AFLAC | $6 | $0 | $6 | 0.01% |
| HEATHER A DOLLIVER3 | 13394 WENDELL DR FENTON, MI 48430 | AFLAC | $6 | $0 | $6 | 0.01% |
| FRANK R BOKOR3 | 755 E 16TH ST APT 101 HOLLAND, MI 49423 | AFLAC | $5 | $0 | $5 | 0.01% |
| CHARLES V GLAUB3 | 4404 SAINT ANDREWS ST HOWELL, MI 48843 | AFLAC | $4 | $0 | $4 | 0.01% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | 1701 W WEBSTER AVE UNIT 509 CHICAGO, IL 60614 | AFLAC | $4 | $0 | $4 | 0.01% |
| CHRISTOPHER D BOULDREY3 | 448 RIVER WOODS DR FLUSHING, MI 48433 | AFLAC | $3 | $0 | $3 | 0.00% |
| ACRISURE LLC3 | 20789 HARPER AVE HARPER WOODS, MI 48225 | AFLAC | $2 | $0 | $2 | 0.00% |
| JAMES BULLOCK3 | 6144 W LONGVIEW DR EAST LANSING, MI 48823 | AFLAC | $2 | $0 | $2 | 0.00% |
| JAMES C SNIDER JR3 | 4105 MILLSTREAM RD DENVER, NC 28037 | AFLAC | $2 | $0 | $2 | 0.00% |
| HEATHER A DOLLIVER3 | 2150 ASSOCIATION DR OKEMOS, MI 48864 | AFLAC | $2 | $0 | $2 | 0.00% |
| DIANE MARIE JARBOE3 Filed as: DIANE B SANDERS | 1567 ARCHWOOD DR HOLT, MI 48842 | AFLAC | $2 | $0 | $2 | 0.00% |
| HEIDI E GLAUB3 | 4404 SAINT ANDREWS ST HOWELL, MI 48843 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $1 | $0 | $1 | 0.00% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 N CLARK ST STE 625 CHICAGO, IL 60654 | AFLAC | $1 | $0 | $1 | 0.00% |
| RANDALL L KIMBLER3 | PO BOX 302 HESPERIA, MI 49421 | AFLAC | $1 | $0 | $1 | 0.00% |
| THOMAS W RINGWALD3 | 37231 N 110TH ST SCOTTSDALE, AZ 85262 | AFLAC | $1 | $0 | $1 | 0.00% |
| MELISSA K SWAN3 | 6610 HARVEST DR PAPILLION, NE 68133 | AFLAC | $1 | $0 | $1 | 0.00% |
| ANNIE GLAUB3 | PO BOX 339 BELLAIRE, MI 49615 | AFLAC | $1 | $0 | $1 | 0.00% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE, LLC--PATRICIA H | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | DELTA DENTAL OF MICHIGAN | $3K | $0 | $3K | 5.01% |
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 | 102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 69 | $1.0M |
| Dental | DELTA DENTAL OF MICHIGAN | 141 | $56K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 148 | $78K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 148 | $78K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 148 | $78K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 148 | $78K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 69 | $1.0M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 148 | $146K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 148 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.