| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENESYS INC5 Filed as: BENESYS, INC. | 700 TOWER DRIVE, SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY OF NEW YORK | $142 | — | $142 | 3.81% |
| BENEFITS PARTNER LLC3 | 38233 MOUND RD BLDG F STERLING HEIGHTS, MI 48310 | HUMANA INSURANCE COMPANY OF NEW YORK | — | — | $0 | 0.00% |
| BENESYS INC5 Filed as: BENESYS, INC. | 700 TOWER DRIVE, SUITE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| BENEFITS PARTNER LLC3 | 38233 MOUND RD BLDG F STERLING HEIGHTS, MI 48310 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY ARIZONA INC | 1230 W WASHINGTON ST 501 TEMPE, AZ 85281 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| LABOR FIRST LLC3 Filed as: LABOR-FIRST LLC | 1000 MIDATLANTIC DR MOUNT LAUREL, NJ 08054 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| UPSTATE FINANCIAL SERVICES3 | 2105 W GENESEE ST STE 115 SYRACUSE, NY 13219 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN DEALER SERVICES INC | 13101 MAGISTERIAL DR STE 200 LOUISVILLE, KY 40223 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| INNOVATIVE BENEFIT SOLUTIONS3 Filed as: INNOVATIVE BENEFIT SOLUTIONS INC | 11057 N TOWNE SQUIARE RD MEQUON, WI 53092 | HUMANA INSURANCE COMPANY | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Consulting (general); Contract Administrator; Plan Administrator; Direct payment from the plan; Copying and duplicating Service code 10 | 700 TOWER DR, SUITE 300 TROY, MI 48098 | $1.7M |
| THE UNION LABOR LIFE INSURANCE CO. EIN 13-1423090 NONE | Claims processing; Insurance services; Direct payment from the plan Service code 12 | 8403 COLESVILLE RD SILVER SPRING, MD 20910 | $288K |
| NOVARA, TESIJA & CATENACCI, PLLC EIN 38-3763096 NONE | Direct payment from the plan; Legal Service code 29 | 888 W BIG BEAVER RD 600 TROY, MI 48084 | $248K |
| CARPENTERS FRINGE BENEFIT FUNDS JDC EIN 38-3345174 COLLECTION PROGRAM | Direct payment from the plan; Other services Service code 49 | 22260 HAGGERTY RD STE 350 NORTHVILLE, MI 48167 | $202K |
| AMERICAN GRAPHICS PRINTING CO. EIN 38-2090931 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 34895 GROESBECK HWY CLINTON TOWNSHIP, MI 48035 | $121K |
| ALLIANCE HEALTH & LIFE CORP. EIN 38-2242827 NONE | Insurance services; Direct payment from the plan Service code 23 | 2850 W GRAND BLVD DETROIT, MI 48202 | $97K |
| MORGAN STANLEY GLOBAL BANKING EIN 13-2919773 NONE | Investment management; Recordkeeping and information management (computing, tabulating, data processing, etc.); Custodial (other than securities); Trustee (bank, trust company, or similar financial institution); Custodial (securities); Securities brokerage; Direct payment from the plan; Investment management fees paid directly by plan; Named fiduciary; Investment advisory (plan) Service code 15 | 101 W.BIG BEAVER RD S1200 TROY, MI 48084 | $72K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Investment advisory (plan); Securities brokerage; Investment management fees paid directly by plan; Custodial (securities); Named fiduciary; Direct payment from the plan; Investment management Service code 19 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $69K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Valuation (appraisals, etc.); Investment management fees paid directly by plan; Named fiduciary; Investment advisory (plan); Investment management; Real estate brokerage; Direct payment from the plan Service code 27 | 1301 E 9TH ST STE 2900 CLEVELAND, OH 44114 | $62K |
| SEGAL SELECT INSURANCE SERVICES NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 119 PERE MARQUETTE STE 1A LANSING, MI 48912 | $48K |
| BULTYNCK & CO., PLLC EIN 20-3920878 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 15985 CANAL ROAD CLINTON TOWNSHIP, MI 48038 | $43K |
| UNITED ACTUARIAL SERVICES, INC. EIN 35-2156428 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | 11590 N MERIDIAN ST 610 CARMEL, IN 46032 | $18K |
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 | 5,654 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,127 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,781 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBS - INDEPENDENCE ADMINISTRATORS | 0 | $0 |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF MICHIGAN | 12,452 | $3.0M |
| Vision | VISION SERVICE PLAN | 6,510 | $413K |
| Prescription drug(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY OF NEW YORK | 0 | $4K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,295 | $452K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,452 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.