| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES, INC | 1707 W BIG BEAVER TROY, MI 480843510 | MEDICA INSURANCE COMPANY | $17K | $5K | $22K | 2.22% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DR N, STE 300 MINNEAPOLIS, MN 554281575 | MEDICA INSURANCE COMPANY | $15K | — | $15K | 1.52% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES, INC | 1707 W BIG BEAVER TROY, MI 48054 | DELTA DENTAL OF WISCONSIN | $4K | — | $4K | 6.02% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES, INC | 1707 W BIG BEAVER TROY, MI 48084 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 4.58% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH & MCLENNAN AGENCY, LLC | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 100362708 | PRINCIPAL LIFE INSURANCE COMPANY | — | $719 | $719 | 3.19% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 2725 S MOORLAND RD PO BOX 510925 NEW BERLIN, WI 53151 | PRINCIPAL LIFE INSURANCE COMPANY | $640 | — | $640 | 2.84% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DR N, STE 300 MINNEAPOLIS, MN 554281575 | PRINCIPAL LIFE INSURANCE COMPANY | $449 | — | $449 | 1.99% |
| JOSEPH A KING3 | 1707 W BIG BEAVER TROY, MI 48084 | UNITEDHEALTHCARE INSURANCE COMPANY | $500 | — | $500 | 5.40% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DR N, STE 300 MINNEAPOLIS, MN 554281575 | UNITEDHEALTHCARE INSURANCE COMPANY | $466 | — | $466 | 5.03% |
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 | 182 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | MEDICA INSURANCE COMPANY | 173 | $996K |
| Dental | DELTA DENTAL OF WISCONSIN | 99 | $63K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 197 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.