| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AFFILIATED AGENCIES LLC3 | 5925 MERIDAN BLVD SUITE 300 BRIGHTON, MI 48116 | BLUE CARE NETWORK OF MICHIGAN | $38K | — | $38K | 4.07% |
| AFFILIATED AGENCIES LLC3 | 5925 MERIDIAN BLVD SUITE 300 BRIGHTON, MI 48116 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | — | $8K | 3.80% |
| STRATEGIC SERVICES GROUP3 | 245 BARCLAY CIR SUITE 200 ROCHESTER HILLS, MI 48307 | SYMETRA LIFE INSURANCE COMPANY | $10K | $4K | $15K | 16.83% |
| AFFILIATED AGENCIES LLC3 | 5925 MERIDIAN BLVD SUITE 300 BRIGHTON, MI 48116 | DELTA DENTAL OF MICHIGAN | $3K | $246 | $3K | 5.23% |
| STRATEGIC SERVICES GROUP3 | 245 BARCLAY CIR SUITE 200 ROCHESTER HILLS, MI 48307 | VISION SERVICE PLAN | $944 | — | $944 | 8.02% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 230 | $1.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 237 | $55K |
| Vision | VISION SERVICE PLAN | 121 | $12K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 164 | $87K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 164 | $87K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 164 | $87K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 230 | $1.1M |
| Other | SYMETRA LIFE INSURANCE COMPANY | 164 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 237 | — |
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.