| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVE PISHA3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $16K | — | $16K | 1.60% |
| JOSEPH A KING3 | 1707 W BIG BEAVER RD TROY, MI 48084 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | $318 | $3K | 0.30% |
| DAVE PISHA3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | BLUE CARE NETWORK OF MICHIGAN | $11K | — | $11K | 1.81% |
| ACTION BENEFITS COMPANY3 | 24600 NORTHWESTERN HWY SOUTHFIELD, MI 48075 | BLUE CARE NETWORK OF MICHIGAN | $7K | — | $7K | 1.16% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES INC | 1707 W BIG BEAVER RD TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN | $2K | $329 | $2K | 0.34% |
| LEGACY PARTNERS II LLC3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | DELTA DENTAL OF MICHIGAN | $7K | — | $7K | 4.35% |
| LEGACY PARTNERS II LLC3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES INC | 1707 W BIG BEAVER RD TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 4.10% |
| LEGACY PARTNERS II LLC3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES INC | 1707 W BIG BEAVER RD TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 4.05% |
| LEGACY PARTNERS II LLC3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | VISION SERVICE PLAN | $1K | — | $1K | 5.19% |
| LEGACY PARTNERS II LLC3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES INC | 1707 W BIG BEAVER RD TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $933 | $933 | 5.10% |
| LEGACY PARTNERS II LLC3 Filed as: LEGACY PARTNERS II, LLC | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES INC | 1707 W BIG BEAVER RD TROY, MI 48084 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $776 | $776 | 4.59% |
| LEGACY PARTNERS II LLC3 | 33304 GRAND RIVER AVE FARMINGTON, MI 48336 | DELTA DENTAL OF MICHIGAN | $357 | — | $357 | 3.88% |
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 | 208 | 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) | 208 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CARE NETWORK OF MICHIGAN | 184 | $615K |
| Dental(2 contracts) | DELTA DENTAL OF MICHIGAN | 308 | $159K |
| Vision | VISION SERVICE PLAN | 130 | $23K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 208 | $17K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 208 | $55K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 208 | $29K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 36 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 308 | — |
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.