| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENESYS INC5 Filed as: BENESYS, INC. | 700 TOWER DRIVE, STE 300 TROY, MI 48098 | HUMANA INSURANCE COMPANY | $800 | — | $800 | 0.51% |
| BENEFITS PARTNER LLC3 | 38233 MOUND RD BLDG. F STERLING HEIGHTS, MI 48310 | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC | $15K | — | $15K | 26.18% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ELIXIR RX SOLUTIONS, LLC EIN 05-0570786 NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | 8957 CANYON FALLS BLVD TWINSBURG, OH 44087 | $540K |
| HCC LIFE INSURANCE COMPANY EIN 35-1817054 NONE | Claims processing; Direct payment from the plan; Insurance services Service code 12 | — | $196K |
| HUMANA INSURANCE COMPANY NONE | Other services; Direct payment from the plan; Claims processing Service code 12 | P.O. BOX 3024 MILWAUKEE, WI 53201 | $157K |
| THE UNION LABOR LIFE INSURANCE CO. EIN 13-1423090 NONE | Insurance services; Direct payment from the plan; Claims processing Service code 12 | 8403 COLESVILLE ROAD SILVER SPRING, MD 20910 | $139K |
| BENESYS, INC. EIN 38-2383171 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Plan Administrator Service code 14 | — | $83K |
| NOVARA, TESIJA & CATENACCI, PLLC EIN 38-3763096 NONE | Direct payment from the plan; Legal Service code 29 | 888 W. BIG BEAVER RD. TROY, MI 48084 | $78K |
| UNITED HEALTHCARE INSURANCE EIN 36-2739571 NONE | Direct payment from the plan; Claims processing; Insurance services Service code 12 | — | $64K |
| SALUS GROUP EIN 20-2024076 NONE | Direct payment from the plan; Consulting (general); Insurance agents and brokers Service code 16 | 38233 MOUND ROAD, BLDG F STERLING HEIGHTS, MI 48310 | $39K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Direct payment from the plan; Other fees Service code 50 | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | $33K |
| HEALTH PLAN ADVOCATE NONE | Direct payment from the plan; Insurance services; Claims processing Service code 12 | 5380 CASCADE RD GRAND RAPIDS, MI 49546 | $22K |
| HINES & ASSOCIATES, INC. EIN 36-3545085 NONE | Other services; Direct payment from the plan Service code 49 | 115 E. HIGHLAND AVE ELGIN, IL 60120 | $21K |
| FRONTPATH HEALTH COALITION EIN 34-1713951 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 12875 ECKEL JUNCTION RD PERRYSBURG, OH 43551 | $18K |
| BULTYNCK & CO., PLLC EIN 20-3920878 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 15985 CANAL RD CLINTON TOWNSHIP, MI 48038 | $16K |
| UNITED ACTUARIAL SERVICES, INC. EIN 35-2156428 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $7K |
| STEFANSKY, HOLLOWAY & NICHOLS NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 22260 HAGGERTY RD 350 NORTHVILLE, MI 48167 | $6K |
| AMERICAN GRAPHICS PRINTING CO. EIN 38-2090931 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $5K |
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 | 179 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 89 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 268 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC | 138 | $56K |
| Prescription drug | ELIXIR SOLUTIONS | 627 | $0 |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 226 | $638K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 627 | — |
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.