| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOSEPH A KING3 Filed as: JOSEPH A. KING | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $61K | — | $61K | 2.26% |
| STUMM INSURANCE LLC3 | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $20K | — | $20K | 0.74% |
| TIMBERLAND GROUP SERVICES, INC.1 Filed as: TIMBERLAND GROUP SERVICES, INC | 1707 W. BIG BEAVER RD. TROY, MI 48084 | DELTA DENTAL OF MICHIGAN | $1K | — | $1K | 0.72% |
| STUMM INSURANCE LLC3 | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | DELTA DENTAL OF MICHIGAN | $906 | — | $906 | 0.45% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 480843510 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 9.35% |
| STUMM INSURANCE LLC3 | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 2.43% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND SERVICE GROUP, INC. | 1707 W. BIG BEAVER RD. TROY, MI 480843510 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 9.36% |
| STUMM INSURANCE LLC1 | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 2.47% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 480843510 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 9.66% |
| STUMM INSURANCE LLC3 Filed as: STUMM INSURANCE, LLC | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 2.48% |
| TIMBERLAND GROUP SERVICES, INC.3 | 1707 W. BIG BEAVER RD. TROY, MI 480843510 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 10.44% |
| STUMM INSURANCE LLC1 | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $857 | — | $857 | 2.49% |
| STUMM INSURANCE LLC3 | 6601 N. AVONDALE AVE. STE. 201 CHICAGO, IL 606311567 | VSP | $179 | — | $179 | 0.88% |
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 | 140 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 379 | $2.7M |
| Dental | DELTA DENTAL OF MICHIGAN | 425 | $200K |
| Vision | VSP | 164 | $20K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 168 | $55K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 166 | $34K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 166 | $47K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ILLINOIS | 379 | $2.7M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 168 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 425 | — |
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.