| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLINTON W ANDERSON3 | 55 E JACKSON BLVD CHICAGO, IL 60604 | BLUECROSS BLUESHIELD OF MICHIGAN | $37K | $955 | $38K | 2.73% |
| MARK C KENDALL3 Filed as: MARK KENDAL | 55 E JACKSON BLVD CHICAGO, IL 60604 | BLUECROSS BLUESHIELD OF MICHIGAN | $2K | — | $2K | 0.12% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF ROAD STE 1100 ONE CENTURY CENTRE SCHAUMBURG, IL 60173 | METROPOLITAN LIFE INSURANCE COMPANY | $46K | $8K | $54K | 8.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 55 E JACKSON BLVD CHICAGO, IL 60604 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | — | $22K | 3.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DR 40 W MADISON 4TH FL BANK OF AMERICA CHICAGO, IL 606930162 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 0.55% |
| CLINTON W ANDERSON3 | 1750 E GOLF RD 11TH FLOOR SCHAUMBURG, IL 60173 | PRIORITY HEALTH INSURANCE COMPANY | $28K | — | $28K | 4.88% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY, LTD | 1750 E GOLF RD SCHAUMBURG, IL 60173 | ALLIANCE HEALTH AND LIFE INSURANCE CO | $4K | — | $4K | 2.34% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: AUDREY BROWN | 626 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $13K | $343 | $13K | 11.24% |
| STEPHEN GRACIN3 | 625 E BIG BEAVER RD., STE 103 TROY, MI 48083 | AFLAC | $4K | $69 | $4K | 3.17% |
| KIMBERLY M MCNULTY3 Filed as: KIMBERLY MCNULTY | 22452 LAKECREST ST SAINT CLAIR SHORES, MI 48081 | AFLAC | $1K | — | $1K | 1.20% |
| RENAE BLACKWELL3 | 1078 SOUTHERN HILLS DRIVE ORANGE PARK, FL 32065 | AFLAC | $638 | — | $638 | 0.54% |
| JULIE SLAUGHTER3 | PO BOX 2141 FARMINGTON HILLS, MI 46333 | AFLAC | $488 | $69 | $557 | 0.47% |
| AG AND ASSOCIATES3 | 2150 ASSOCIATION DR, STE 150 OKEMOS, MI 48864 | AFLAC | $411 | $2 | $413 | 0.35% |
| NANCY ANN CLEMENTS3 Filed as: NANCY CLEMENTS | 625 E BIG BEAVER RD., STE 103 TROY, MI 48083 | AFLAC | $391 | — | $391 | 0.33% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 5530 WEST PKWY STE 100 JOHNSTON, IA 50131 | AFLAC | $360 | — | $360 | 0.30% |
| SUSAN MAE DANIEL3 Filed as: SUSAN TAORMINA | 28 1ST ST MT. CLEMENS, MI 48043 | AFLAC | $344 | — | $344 | 0.29% |
| ROBERT STRYE3 | 20470 PICADILLY ROAD DETROIT, MI 48221 | AFLAC | $329 | — | $329 | 0.28% |
| MARIA SILAMIANOS3 | 5604 FORD GROSSE POINTE SHORES, MI 48236 | AFLAC | $305 | — | $305 | 0.26% |
| CHRISTOPHER HAGER3 Filed as: CHRISTOPHER SOCHA | 29140 EIFFEL AVE WARREN, MI 48088 | AFLAC | $281 | — | $281 | 0.24% |
| PAMELA GRATES3 | 28 1ST ST MT. CLEMENS, MI 48043 | AFLAC | $183 | — | $183 | 0.15% |
| STEPHANIE L KESSELRING3 Filed as: STEPHANIE KESSELRING | 3141 ROLLING GREEN CT MILFORD, MI 48380 | AFLAC | $158 | $4 | $162 | 0.14% |
| THOMAS DANKO3 | 2030 34 MILE RD BRUCE TWP, MI 48065 | AFLAC | $128 | — | $128 | 0.11% |
| CATHERINE DANIS3 | 48639 BRITTANY PARC DR MACOMB, MI 48044 | AFLAC | $79 | — | $79 | 0.07% |
| THOMAS C MEADE3 Filed as: THOMAS MEADE | 46175 WINDSOR COURT MACOMB, MI 48044 | AFLAC | $62 | — | $62 | 0.05% |
| LARRY D DENNY3 Filed as: LARRY KESSELRING | 26200 TOWN CENTER DRIVE NOVI, MI 48375 | AFLAC | $56 | — | $56 | 0.05% |
| LEONARD DIGIUSEPPE3 | 37164 27 MILE RD LENOX, MI 48048 | AFLAC | $47 | — | $47 | 0.04% |
| JEANNETTE E FATHERREE3 Filed as: JEANNETTE STAPLETON | 27735 JEFFERSON AVE SAINT CLAIR SHORES, MI 48081 | AFLAC | $40 | — | $40 | 0.03% |
| ANDREW K GLAUB3 Filed as: ANDREW GLAUB | 2150 ASSOCIATION DR, STE 150 OKEMOS, MI 48864 | AFLAC | $32 | — | $32 | 0.03% |
| GERALD THORP AGENCY LLC3 Filed as: GERALD THORP II | 1582 RILEY RD CARO, MI 48723 | AFLAC | $32 | — | $32 | 0.03% |
| MICHAEL P MCGLYNN DAYTON3 Filed as: MICHAEL MCGLYNN DAYTON | 110 TREALOUT DR STE 202 FENTON, MI 48430 | AFLAC | $21 | — | $21 | 0.02% |
| CHARLES ROBERTS3 | 508 MICHAYWE DR GAYLORD, MI 49735 | AFLAC | $20 | — | $20 | 0.02% |
| MICHIGAN ACCOUNT SERVICE TEAM INC3 Filed as: MICHIGAN ACCOUNT SERV TEAM | 2220 RIVER ROAD SUTIE 200 MARYSVILLE, MI 48040 | AFLAC | $20 | — | $20 | 0.02% |
| BAKER HOPP INC3 | 20789 HARPER AVE HARPER WOODS, MI 48225 | AFLAC | $19 | — | $19 | 0.02% |
| HEATHER DOLLIVER3 | 2150 ASSOCIATION DR OKEMOS, MI 48864 | AFLAC | $17 | $2 | $19 | 0.02% |
| MICHAEL RITTER3 Filed as: MICHAEL FRITTER | 580 FOREST AVE, STE 6B PLYMOUTH, MI 48170 | AFLAC | $16 | — | $16 | 0.01% |
| KRAIG SEXTON3 | 9864 E GRAND RIVER AVE STE 110, NO. 292 BRIGHTON, MI 48116 | AFLAC | $16 | — | $16 | 0.01% |
| JOSEPH BALL3 | 4463 N LAMTON RD DEFORD, MI 48729 | AFLAC | $13 | — | $13 | 0.01% |
| JEFFREY C WERNER3 Filed as: JEFFREY WERNER | 18096 TRUDY DR SPRING LAKE, MI 49456 | AFLAC | $11 | $2 | $13 | 0.01% |
| SCOTT B KOHLMANN3 Filed as: SCOTT KOHLMANN | 4350 WEBSTER RD FLUSHING, MI 48433 | AFLAC | $10 | — | $10 | 0.01% |
| JASON SCZEPANIAK3 | 1161 HERITAGE CT SUN PRAIRIE, WI 53590 | AFLAC | $9 | — | $9 | 0.01% |
| JAMES C SNIDER JR3 Filed as: JAMES SNIDER JR | 2461 W STATE ROAD 426 STE 2061 OVIEDO, FL 32765 | AFLAC | $9 | — | $9 | 0.01% |
| ALBERT SMOLINSKI3 | 1201 BRADDOCK PL APT 113 ALEXANDRIA, VA 22314 | AFLAC | $8 | — | $8 | 0.01% |
| WESLEY A SMITH3 Filed as: WESLEY SMITH | 9125 COSTNER DR SE CALEDONIA, MI 49316 | AFLAC | $7 | — | $7 | 0.01% |
| CARMEN PARSON3 | 32327 E BRAMPTON ST NEW HAVEN, MI 48048 | AFLAC | $7 | — | $7 | 0.01% |
| EVELYN WASHCHUK3 | 20 1ST STREET MOUNT CLEMENS, MI 48043 | AFLAC | $3 | $4 | $7 | 0.01% |
| CHRISTOPHER D BOULDREY3 Filed as: CHRISTOPHER BOULDREY | 340 WOOD HILLS DR CONCORD, MI 49237 | AFLAC | $6 | — | $6 | 0.01% |
| DORIAN J MOORE3 Filed as: DORIAN MOORE | 19900 E 10 MILE RD STE. 101 SAINT CLAIR SHORES, MI 48080 | AFLAC | $4 | $2 | $6 | 0.01% |
| THE ALBRECHT COMPANIES INC3 Filed as: THE ALBRECHT CO | 26533 EVERGREEN RD., STE 400 SOUTHFIELD, MI 48076 | AFLAC | $6 | — | $6 | 0.01% |
| EDGAR J SANCHEZ SR3 Filed as: EDGAR SANCHEZ SR | 28 1ST ST STE D MOUNT CLEMENS, MI 48043 | AFLAC | $4 | $2 | $6 | 0.01% |
| JAMES BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $5 | — | $5 | 0.00% |
| IAN A BURT3 Filed as: IAN BURT | 769 CHICAGO ROAD 3RD FL TROY, MI 48083 | AFLAC | $4 | — | $4 | 0.00% |
| SPAZ AND GLAUB ENT3 | 2150 ASSOCIATION DR, STE 150 OKEMOS, MI 48864 | AFLAC | $4 | — | $4 | 0.00% |
| LYNDA B MACDONALD3 Filed as: LYNDA MACDONALD | 28655 OAKMONTE CIR W NEW HUDSON, MI 48165 | AFLAC | $3 | — | $3 | 0.00% |
| SUSAN J TAORMINA3 Filed as: SUSAN J TAORMINA INC | 28 1ST ST MOUNT CLEMENS, MI 48043 | AFLAC | $3 | — | $3 | 0.00% |
| BRIAN DAY3 | 13169 HITCHINS POST RD DEWITT, MI 48820 | AFLAC | $3 | — | $3 | 0.00% |
| TRACEY KEISER3 | 9181 E KAISER BLVD ANAHEIM, CA 92808 | AFLAC | $2 | — | $2 | 0.00% |
| MAUREEN CONWELL3 | 301 ROYAL AVE ROYAL OAK, MI 48073 | AFLAC | $2 | — | $2 | 0.00% |
| ALAN BERGMANN3 | 707 PRUDDEN ST UNIT 101 LANSING, MI 48908 | AFLAC | $1 | — | $1 | 0.00% |
| HEIDI E GLAUB3 Filed as: HEIDI GLAUB | 1325 OAK HOLLOW DR MILFORD, MI 48380 | AFLAC | $1 | — | $1 | 0.00% |
| THOMAS W BOSTON3 Filed as: THOMAS RINGWALD | 37231 N 10TH ST SCOTTSDALE, AZ 85262 | AFLAC | $0 | — | $0 | 0.00% |
| ANNIE GLAUB3 | 2133 UNIVERSITY PARK DR STE 600 OKEMOS, MI 48864 | AFLAC | $0 | — | $0 | 0.00% |
| MICHELLE J HALLER3 Filed as: MICHELLE CALVIN | PO BOX 99 JONESVILLE, MI 49250 | AFLAC | $0 | — | $0 | 0.00% |
| RANDALL D LADNER3 Filed as: RANDALL KIMBLER | PO BOX 302 HESPERA, MI 49421 | AFLAC | $0 | — | $0 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: AUDREY BROWN | 625 E BIG BEAVER RD STE 103 TROY, MI 48083 | AFLAC | $4K | — | $4K | 6.65% |
| STEPHEN GRACIN3 | 625 E BIG BEAVER RD., STE 103 TROY, MI 48083 | AFLAC | $737 | — | $737 | 1.29% |
| GERALD A GREENEN3 Filed as: GERALD GREENED | 490 E ROOSELVT ROAD STE 203 WEST CHICAGO, IL 60185 | AFLAC | $538 | $64 | $602 | 1.06% |
| KIMBERLEY M MCNULTY3 Filed as: KIMBERLEY MCNULTY | 22452 LAKECREST STREET MOUNT CLEMENS, MI 48043 | AFLAC | $513 | — | $513 | 0.90% |
| SUSAN MAE DANIEL3 Filed as: SUSAN TAORMINA | 28 1ST STREET MOUNT CLEMENS, MI 48043 | AFLAC | $472 | — | $472 | 0.83% |
| ROBERT GANSSER3 Filed as: ROBERT GANGSER | 19375 CASCADE DRIVE BROWNSTOWN, MI 48193 | AFLAC | $421 | — | $421 | 0.74% |
| BRADLEY RICHARDS3 | 38453 WARWICKSHIRE DR STERLING HEIGHTS, MI 48312 | AFLAC | $409 | — | $409 | 0.72% |
| CYNTHIA LAFOUNTAIN3 | 12645 ANN LYNN DR SOUTH LYON, MI 48178 | AFLAC | $386 | — | $386 | 0.68% |
| CATHERINE DANIS3 | 48639 BRITTANY PARC DR MACOMB, MI 48193 | AFLAC | $281 | — | $281 | 0.49% |
| JEFFREY DOWD3 | 412 SERENITY CT TROY, MI 48098 | AFLAC | $212 | $16 | $228 | 0.40% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 5530 WEST PKWY STE 100 JOHNSTON, IA 50131 | AFLAC | $175 | — | $175 | 0.31% |
| NICHOLAS GUERRO3 | 756 S MILFORD RD MILFORD, MI 48381 | AFLAC | $174 | — | $174 | 0.31% |
| MICHIGAN ACCOUNT SERVICE TEAM INC3 Filed as: MICHIGAN ACCOUNT SERVICE TEAM | 2220 RIVER ROAD SUITE 200 MARYSVILLE, MI 48040 | AFLAC | $171 | — | $171 | 0.30% |
| LYNDA B MACDONALD3 Filed as: LYNDA MACDONALD | 28655 OAKMONTE CIR W NEW HUDSON, MI 48165 | AFLAC | $132 | — | $132 | 0.23% |
| AG AND ASSOCIATES3 | 2150 ASSOCIATION DR., STE 150 OKEMOS, MI 48864 | AFLAC | $128 | — | $128 | 0.22% |
| BRADLEY PIERSON3 | 5608 COLUMBIA AVE DALLAS, TX 76214 | AFLAC | $128 | — | $128 | 0.22% |
| THOMAS DANKO3 | 2030 34 MILE ROAD BRUCE TWP, MI 48085 | AFLAC | $107 | $3 | $110 | 0.19% |
| ANTHONY BUDIMEROVICH3 | 625 E BIG BEAVER, STE 103 TROY, MI 48083 | AFLAC | $106 | $3 | $109 | 0.19% |
| ALAN BERGMANN3 | 707 PRUDDEN ST UNTI 101 LANSING, MI 48906 | AFLAC | $90 | — | $90 | 0.16% |
| RENAE BLACKWELL3 | 1076 SOUTHERN HILS DRIVE ORANGE PARK, FL 32065 | AFLAC | $85 | — | $85 | 0.15% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 E ROOSEVELT RD STE 203 WEST CHICAGO, IL 60185 | AFLAC | $55 | $11 | $66 | 0.12% |
| DONALD NOYES3 | PO BOX 700435 PLYMOUTH, MI 48170 | AFLAC | $50 | — | $50 | 0.09% |
| BRADLEY BAUGHMAN3 | 580 FOREST AVENUE, STE 6B PLYMOUTH, MI 48170 | AFLAC | $49 | — | $49 | 0.09% |
| CHARLOTTE R SANTA CRUZ3 Filed as: CHARLOTTE WHEELER | 61687 MIRIAM DR WASHINGTON, MI 48094 | AFLAC | $34 | — | $34 | 0.06% |
| ROBERT SHEPARD COOPER3 Filed as: ROBERT COOPER | PO BOX 609 SANGER, TX 76266 | AFLAC | $31 | — | $31 | 0.05% |
| CHARLES V GLAUB3 Filed as: CHARLES GLAUB | 1325 OAK HOLLOW DRIVE MILFORD, MI 48380 | AFLAC | $25 | — | $25 | 0.04% |
| KRAIG SEXTON3 | 9864 E GRAND RIVER AVE., STE 110 NO. 292 BRIGHTON, MI 48116 | AFLAC | $23 | — | $23 | 0.04% |
| SPAZ AND GLAUB ENTERPRISES3 | 2150 ASSOCIATION DRIVE, STE 150 OKEMOS, MI 48864 | AFLAC | $19 | — | $19 | 0.03% |
| CRAIG S DAVIES3 Filed as: CRAIG DAVIES | 109 TIMBER CREEK CT ARGYLE, TX 76226 | AFLAC | $19 | — | $19 | 0.03% |
| JOHN E CUMMINGS3 Filed as: JOHN JOHNSON | 2150 W. NORTHWEST HWY., STE 114 GRAPEVINE, TX 76051 | AFLAC | $15 | — | $15 | 0.03% |
| HILARY R EBNER3 Filed as: HILARY CONER | 31201 CHICAGO RD S STE 103 WARREN, MI 48093 | AFLAC | $14 | — | $14 | 0.02% |
| ANDREW K GLAUB3 Filed as: ANDREW GLAUB | 2150 ASSOCIATION DRIVE STE 150 OKEMOS, MI 48864 | AFLAC | $11 | — | $11 | 0.02% |
| JEFFREY C WERNER3 Filed as: JEFFREY WERNER LLC | 18096 TRUDY DR SPRING LAKE, MI 49456 | AFLAC | $7 | $2 | $9 | 0.02% |
| CHARLES BAKER3 | 5601 GLENN AVE FLINT, MI 48505 | AFLAC | $8 | — | $8 | 0.01% |
| JEFFREY C WERNER3 Filed as: JEFFREY WERNER | 18096 TRUDY DR SPRING LAKE, MI 49456 | AFLAC | $7 | — | $7 | 0.01% |
| HEATHER DOLLIVER3 | 2150 ASSOCIATION DR OKEMOS, MI 48864 | AFLAC | $6 | — | $6 | 0.01% |
| JAMES C SNIDER JR3 Filed as: JAMES SNIDER JR | 2461 W STATE ROAD 426 STE 2061 OVIEDO, FL 32765 | AFLAC | $3 | — | $3 | 0.01% |
| CHRISTOPHER D BOULDREY3 Filed as: CHRISTOPHER BOULDREY | 340 WOOD HILLS DRIVE CONCORD, MI 49237 | AFLAC | $3 | — | $3 | 0.01% |
| TIMOTHY J REED3 Filed as: TIMOTHY SANDERS | 1667 ARCHWOOD DRIVE HOLT, MI 48842 | AFLAC | $3 | — | $3 | 0.01% |
| JAMES BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | AFLAC | $3 | — | $3 | 0.01% |
| STEPHANIE L KESSELRING3 Filed as: STEPHANIE KESSELRING | 3141 ROLLING GREEN CT MILFORD, MI 48380 | AFLAC | $2 | — | $2 | 0.00% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE., STE 200 FORT LAUDERDALE, FL 33309 | AFLAC | $1 | — | $1 | 0.00% |
| KEITH LOZAR3 | 18618 RUTH STREET MELVINDALE, MI 48122 | AFLAC | $1 | — | $1 | 0.00% |
| TERRI PEASE3 Filed as: TERRI PAINE | 424 HUME BLVD LANSING, MI 48917 | AFLAC | $1 | — | $1 | 0.00% |
| ANNIE GLAUB3 | 2133 UNIVERSITY PARK DRIVE STE 600 OKEMOS, MI 48864 | AFLAC | $1 | — | $1 | 0.00% |
| HEIDI E GLAUB3 Filed as: HEIDI GLAUB | 1325 OAK HOLLOW DRIVE MILFORD, ME 48380 | AFLAC | $1 | — | $1 | 0.00% |
| RANDALL D LADNER3 Filed as: RANDALL KIMBLER | PO BOX 302 HESPERA, MI 49421 | AFLAC | $1 | — | $1 | 0.00% |
| KEITH LOZAR3 | 18616 RUTH ST MELVINDALE, MI 48122 | AFLAC | $1 | — | $1 | 0.00% |
| THOMAS W BOSTON3 Filed as: THOMAS RINGWALD | 37231 N 10TH ST SCOTTSDALE, AL 85262 | AFLAC | $0 | — | $0 | 0.00% |
| CLINTON W ANDERSON3 | 1750 E GOLF RD 11TH FLOOR SCHAUMBURG, IL 60173 | PRIORITY HEALTH | $2K | — | $2K | 6.03% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 1750 E GOLF RD 11TH FLOOR SCHAUMBURG, IL 60173 | HEALTH ALLIANCE PLAN | $857 | — | $857 | 5.66% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF ROAD 11TH FLOOR SCHAUMBURG, IL 60173 | NATIONWIDE LIFE INSURANCE COMPANY | $376 | — | $376 | 5.66% |
| FRINGE INSURANCE BENEFITS, INC.3 Filed as: FRINGE INSURANCE BENEFITS, INC | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | NATIONWIDE LIFE INSURANCE COMPANY | $188 | — | $188 | 2.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 55 EAST JACKSON BLVD., FLOOR 1400 CHICAGO, IL 60604 | NATIONWIDE LIFE INSURANCE COMPANY | $154 | — | $154 | 2.32% |
| ASSURANCE AGENCY LTD3 | 1750 E GOLF ROAD SCHAUMBURG, IL 60173 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $187 | — | $187 | 14.96% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD STE 14B CHICAGO, IL 60504 | DEARBORN NATIONAL LIFE INSURANCE CO | $90 | — | $90 | 14.68% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY | 1750 E GOLF RD STE 1100 SCHAUMBURG, IL 60173 | DEARBORN NATIONAL LIFE INSURANCE CO | $78 | — | $78 | 12.72% |
| THE ALBRECHT COMPANIES INC3 Filed as: THE ALBRECHT CO | 26533 EVERGREEN RD., STE 400 SOUTHFIELD, MI 48076 | DEARBORN NATIONAL LIFE INSURANCE CO | — | $31 | $31 | 5.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TALL TREE ADMINISTRATORS EIN 87-0672300 CONTRACT ADMIN | Contract Administrator Service code 13 | 11550 S 700 E STE 200 DRAPER, UT 84020 | $33K |
| CONNECTICUT GENERAL LIFE EIN 06-0303370 CONTRACT ADMIN | Contract Administrator Service code 13 | PO BOX 645014 CINCINNATI, OH 45264 | $18K |
| CORECARE, INC EIN 47-5025831 CONTRACT ADMIN | Plan Administrator Service code 14 | 631 RIVER HIGHLANDS BLVD STE A COVINGTON, LA 70433 | $6K |
| FRINGE INSURANCE BENEFITS, INC. EIN 74-2616364 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $6K |
| EBS, INC. CONTRACT ADMIN. | Plan Administrator Service code 14 | 81 MEYERSVILLE ROAD CHATHAM, NJ 07928 | $5K |
| ASSURANCE AGENCY LTD EIN 36-2656887 BROKER | Insurance agents and brokers Service code 22 | — | $2K |
| HUB INTERNATIONAL MIDWEST LTD. BROKER | Insurance agents and brokers Service code 22 | 55 E JACKSON BLVD CHICAGO, ID 60604 | $1K |
| EPG EIN 20-1736437 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $855 |
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 | 310 | 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) | 310 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | BLUECROSS BLUESHIELD OF MICHIGAN | 249 | $2.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,167 | $671K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,167 | $671K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,167 | $672K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,167 | $671K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,167 | $671K |
| Prescription drug(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF MICHIGAN | 249 | $2.0M |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE COMPANY | 77 | $7K |
| Other(5 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,167 | $849K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,167 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.