| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT N. SETTLE3 | 21051 RICHMOND DRIVE NORTHVILLE, MI 48167 | PRIORITY HEALTH | $15K | $0 | $15K | 2.27% |
| SCOTT N. SETTLE3 | 333 BRISGE STREET NW, SUITE 400 GRAND RAPIDS, MI 49504 | PRIORITY HEALTH | $7K | $0 | $7K | 1.07% |
| BENJAMIN A. GOFF3 | 360 THREE MEADOWS DRIVE PERRYSBURG, OH 43551 | PRIORITY HEALTH | $4K | $0 | $4K | 0.66% |
| SCOTT N. SETTLE3 | 21051 RICHMOND DRIVE NORTHVILLE, MI 48167 | PRIORITY HEALTH INSURANCE COMPANY | $15K | $0 | $15K | 2.32% |
| SCOTT N. SETTLE3 | 333 BRISGE STREET NW, SUITE 400 GRAND RAPIDS, MI 49504 | PRIORITY HEALTH INSURANCE COMPANY | $6K | $0 | $6K | 0.98% |
| BENJAMIN A. GOFF3 | 360 THREE MEADOWS DRIVE PERRYSBURG, OH 43551 | PRIORITY HEALTH INSURANCE COMPANY | $5K | $0 | $5K | 0.70% |
| USI INSURANCE SERVICES LLC3 | 1 HILLCREST DRIVE EAST CHARLESTON, WV 25311 | DELTA DENTAL OF MICHIGAN | $5K | $0 | $5K | 5.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OHIO, LLC | 360 THREE MEADOWS DRIVE PERRYSBURG, WV 43551 | DELTA DENTAL OF MICHIGAN | $1K | $0 | $1K | 1.05% |
| USI INSURANCE SERVICES LLC3 | 2600 WEST BIG BEAVER ROAD SUITE 140 TROY, MI 48084 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 7.64% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 6.58% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUTSIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $3K | $3K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OHIO, LLC | 360 THREE MEADOWS DRIVE PERRYSBURG, OH 43551 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $513 | $0 | $513 | 0.78% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE | $1K | $0 | $1K | 8.55% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF OHIO, LLC | 360 THREE MEADOWS DRIVE PERRYSBURG, OH 43551 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE | $214 | $0 | $214 | 1.61% |
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 | 124 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PRIORITY HEALTH | 164 | $1.3M |
| Dental | DELTA DENTAL OF MICHIGAN | 293 | $98K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE | 189 | $13K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 126 | $66K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 126 | $66K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 126 | $66K |
| Prescription drug(2 contracts, 2 carriers) | PRIORITY HEALTH | 164 | $1.3M |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 126 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 293 | — |
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.