| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMPERIAL GROUP, INC.3 | 2735 GLENBROOKE COURT BLOOMFIELD HILLS, MI 48302 | UNION LABOR LIFE INSURANCE COMPANY | $39K | — | $39K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS EIN 38-2383171 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $159K |
| THE SEGAL COMPANY ACTUARY | Actuarial Service code 11 | 2000 TOWN CENTER, SUITE 1900 SOUTHFIELD, MI 48075 | $29K |
| PPOM LLC EIN 38-3357687 PROCESSOR | Claims processing Service code 12 | — | $26K |
| HEALTHCARE STRATEGIES EIN 52-1874471 CASE MANAGEMENT/UTILIZATI | Claims processing Service code 12 | — | $26K |
| WELLS FARGO INSURANCE AGENCY INSURANCE AGENT | Insurance services Service code 23 | 648 MONROE AVE NW, SUITE 300 GRAND RAPIDS, MI 49503 | $21K |
| PREMIER HEALTHCARE EXCHANGE PROCESSOR | Claims processing Service code 12 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $16K |
| MANER COSTERISAN, P.C. EIN 38-2157642 AUDITOR | Accounting (including auditing) Service code 10 | — | $14K |
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 | 471 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 323 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 794 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 555 | $387K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 555 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.