| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLAIMCHOICE ADMINISTRATORS5 | PO BOX 362 ROYAL OAK, MI 48068 | WESTPORT INSURANCE CORPORATION | — | $175K | $175K | 24.49% |
| SELF-FUNDING PARTNERS3 Filed as: SELF-FUNDING PARTNERS, INC | 4150 GRANGE HALL ROAD HOLLY, MI 48442 | WESTPORT INSURANCE CORPORATION | $100K | — | $100K | 14.00% |
| SELF-FUNDING PARTNERS3 Filed as: SELF-FUNDING PARTNERS, INC | 4150 GRANGE HALL RD HOLLY, MI 48442 | GUARDIAN | $51K | — | $51K | 11.56% |
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 | 275 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 275 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WESTPORT INSURANCE CORPORATION | 275 | $714K |
| Dental | GUARDIAN | 440 | $441K |
| Vision | GUARDIAN | 440 | $441K |
| Life insurance | GUARDIAN | 440 | $441K |
| Short-term disability | GUARDIAN | 440 | $441K |
| Long-term disability | GUARDIAN | 440 | $441K |
| Prescription drug | WESTPORT INSURANCE CORPORATION | 275 | $714K |
| Other | GUARDIAN | 440 | $441K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 440 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.