| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMOTHY M DURSO3 Filed as: TIMOTHY M. DURSO | 608 SOUTH WASHINGTON STE 200 LANSING, MI 48933 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $46K | $0 | $46K | 2.91% |
| CENTENNIAL EMPLOYEE BENEFITS3 | 608 SOUTH WASHINGTON LANSING, MI 48933 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $1K | $1K | 0.08% |
| TIMOTHY M DURSO3 Filed as: TIMOTHY M. DURSO | 608 SOUTH WASHINGTON STE 200 LANSING, MI 48933 | BLUE CARE NETWORK OF MICHIGAN | $12K | $0 | $12K | 3.03% |
| CENTENNIAL EMPLOYEE BENEFITS3 | 608 SOUTH WASHINGTON LANSING, MI 48933 | BLUE CARE NETWORK OF MICHIGAN | $0 | $384 | $384 | 0.10% |
| TIMOTHY M DURSO3 | 608 S WASHINGTON AVE STE 200 LANSING, MI 48933 | PRINCIPAL LIFE INSURANCE COMPANY | $19K | $0 | $19K | 9.81% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES, INC. | 608 S WASHINGTON AVE STE 200 LANSING, MI 48933 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $6K | $6K | 3.12% |
| CENTENNIAL EMPLOYEE BENEFITS3 Filed as: CENTENNIAL ASSOCIATES, INC. | 511 S WASHINGTON AVE LANSING, MI 48933 | DELTA DENTAL OF MICHIGAN | $5K | $0 | $5K | 3.04% |
| CENTENNIAL GROUP BENEFITS3 Filed as: THE CENTENNIAL GROUP | 511 SOUTH WASHINGTON AVENUE LANSING, MI 48933 | EYEMED | $2K | $0 | $2K | 9.22% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 242 | $2.0M |
| Dental | DELTA DENTAL OF MICHIGAN | 306 | $152K |
| Vision | EYEMED | 278 | $23K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 287 | $199K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 287 | $199K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 287 | $199K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 242 | $2.0M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 287 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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.