| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AXION RMS LTD3 Filed as: AXION RMD LTD | 2443 WARRENVILLE RD STE 610 LISLE, IL 60532 | DEARBOARN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 1.67% |
| REBECCA A MCLAUGHLAN3 | 755 W BIG BEAVER RD STE 2300 TROY, MI 480848084 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $9K | — | $9K | 8.15% |
| JAMES P LILL3 | 2443 WARRENVILLE RD STE 610 LISLE, IL 60532 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $5K | — | $5K | 4.13% |
| MARSH & MCLENNAN AGENCY LLC3 | 755 W BIG BEAVER RD STE 2300 TROY, MI 48084 | VSP | $757 | — | $757 | 3.76% |
| AXION RMS LTD3 Filed as: AXION RMD LTD | 2443 WARRENVILLE RD STE 610 LISLE, IL 605324357 | VSP | $357 | — | $357 | 1.77% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Claims processing; Float revenue; Insurance services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Direct payment from the plan; Consulting (general) Service code 12 | — | $141K |
| JAMES P LILL BROKER | Non-monetary compensation; Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers; Other fees Service code 22 | 2443 WARRENVILLE RD STE 610 LISLE, IL 60532 | $11K |
| REBECCA A MCLAUGHLAN INVESTMENT BKR | Other commissions; Non-monetary compensation; Insurance brokerage commissions and fees; Other fees; Insurance agents and brokers Service code 22 | 3331 W BIG BEAVER S200 TROY, MI 48084 | $9K |
| MARSH & MCLENNAN DBA MCGRAW INVESTMENT BKR | Other fees; Insurance agents and brokers; Non-monetary compensation; Insurance brokerage commissions and fees; Other commissions Service code 22 | 3331 W BIG BEAVER RD S200 TROY, MI 48084 | $3K |
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD OF MICHIGAN | 333 | $116K |
| Vision | VSP | 139 | $20K |
| Life insurance | DEARBOARN NATIONAL LIFE INSURANCE COMPANY | 210 | $247K |
| Short-term disability | DEARBOARN NATIONAL LIFE INSURANCE COMPANY | 210 | $247K |
| Long-term disability | DEARBOARN NATIONAL LIFE INSURANCE COMPANY | 210 | $247K |
| Other | DEARBOARN NATIONAL LIFE INSURANCE COMPANY | 210 | $247K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 333 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.