| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | BLUE CARE NETWORK OF MICHIGAN | $30K | $3K | $33K | 1.80% |
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS SUITE 170 TROY, MI 48083 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $11K | $280 | $11K | 3.46% |
| GOODMAN VENEGAS INSURANCE AGENCY3 | 2800 LIVERNOIS RD SUITE 170 TROY, MI 48083 | DEARBORN LIFE INSURANCE COMPANY | $10K | — | $10K | 14.61% |
| GOODMAN VENEGAS INSURANCE AGENCY3 Filed as: THE GOODMAN VENEGAS INS AGENCY INC | 2800 LIVERNOIS ROAD SUITE 170 TROY, MI 48083 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $852 | $3K | 15.16% |
| GOODMAN VENEGAS INSURANCE AGENCY3 Filed as: THE GOODMAN VENEGAS INS AGENCY INC | 2800 LIVERNOIS ROAD SUITE 170 TROY, MI 48083 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $855 | $3K | 20.50% |
| GOODMAN VENEGAS INSURANCE AGENCY3 Filed as: THE GOODMAN VENEGAS INS AGENCY INC | 2800 LIVERNOIS ROAD SUITE 170 TROY, MI 48083 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $405 | $2K | 20.10% |
| GOODMAN VENEGAS INSURANCE AGENCY3 Filed as: THE GOODMAN VENEGAS INS AGENCY INC | 2800 LIVERNOIS RD SUITE 170 TROY, MI 48083 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $732 | $222 | $954 | 13.03% |
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 | 267 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 267 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 438 | $2.1M |
| Dental | BLUE CROSS BLUE SHIELD OF MICHIGAN | 438 | $324K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 438 | $324K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 267 | $87K |
| Short-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 267 | $88K |
| Long-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 267 | $80K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 438 | $2.1M |
| Other(3 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 267 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 438 | — |
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.