| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT WOOSTER3 Filed as: SCOTT HODGIN | 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 | PRIORITY HEALTH INSURANCE COMPANY | $30K | — | $30K | 3.42% |
| MICHELLE WILLARD3 | 811 MADISON AVENUE TOLEDO, OH 43604 | PRIORITY HEALTH INSURANCE COMPANY | $6K | — | $6K | 0.67% |
| JON SNEAD3 | 38 COMMERCE SOUTHWEST SUITE 400 GRAND RAPIDS, MI 49503 | PRIORITY HEALTH INSURANCE COMPANY | $54 | — | $54 | 0.01% |
| MEADOWBROOK INC3 | 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 8.47% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 2.50% |
| MEADOWBROOK INC3 Filed as: MEADOWBROOK, INC. | 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 3.96% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | DELTA DENTAL OF MICHIGAN | $504 | — | $504 | 0.81% |
| MEADOWBROOK INC3 Filed as: MEADOWBROOK, INC. | 26255 AMERICAN DRIVE SOUTHFIELD, MI 48034 | VISION SERVICE PLAN | $656 | — | $656 | 5.90% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43603 | VISION SERVICE PLAN | $135 | — | $135 | 1.21% |
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRIORITY HEALTH INSURANCE COMPANY | 195 | $888K |
| Dental | DELTA DENTAL OF MICHIGAN | 186 | $62K |
| Vision | VISION SERVICE PLAN | 100 | $11K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 143 | $70K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 143 | $70K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 143 | $70K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 143 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.