| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ERIC T. HAMMILL3 | 2600 SOUTH TELEGRAPH ROAD SUITE 100 BLOOMFIELD HILLS, MI 48302 | BLUE CARE NETWORK OF MICHIGAN | $26K | $0 | $26K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | BLUE CARE NETWORK OF MICHIGAN | $0 | $2K | $2K | 0.18% |
| ERIC T. HAMMILL3 | 2600 SOUTH TELEGRAPH ROAD SUITE 100 BLOOMFIELD HILLS, MI 48302 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $11K | $0 | $11K | 2.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $332 | $332 | 0.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 30150 TELEGRAPH ROAD, SUITE 408 BINGHAM FARMS, MI 48025 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $0 | $9K | 7.10% |
| CENTRO BENEFITS RESEARCH LLC3 Filed as: CENTRO BENEFITS RESEARCH, LLC | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.05% |
| DIANE DIPPOLITI3 Filed as: DIANE M. DIPPOLITI | 54890 WALNUT DRIVE NEW HUDSON, MI 48165 | AFLAC | $2K | $60 | $2K | 4.00% |
| TLANDA MCDONALD & OTHER AGENTS3 | 1855 TIVERTON ROAD BLOOMFIELD HILLS, MI 48304 | AFLAC | $1K | $0 | $1K | 1.78% |
| STEPHEN A GRACIN3 Filed as: STEPHEN A. GRACIN | 625 EAST BIG BEAVER ROAD, SUITE 103 TROY, MI 48083 | AFLAC | $702 | $14 | $716 | 1.25% |
| KIMBERLY VALICENTO3 | 18620 BAINBRIDGE AVENUE LIVONIA, MI 48152 | AFLAC | $498 | $11 | $509 | 0.89% |
| MONTANA TOMPKINS3 | 3615 CALLIHAN COURT LANSING, MI 48910 | AFLAC | $293 | $0 | $293 | 0.51% |
| DENNIS FENNELL3 Filed as: DENNIS PATTON | 21211 LASER LANE SOUTH LYON, MI 48178 | AFLAC | $262 | $0 | $262 | 0.46% |
| RONALD A DASHKOVITZ3 Filed as: RONALD ALLEN DASHKOVITZ | 139 WEST LAKE LANSING ROAD SUITE 200 EAST LANSING, MI 48823 | AFLAC | $146 | $0 | $146 | 0.25% |
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 | 132 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 139 | $1.3M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $121K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $121K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $121K |
| Short-term disability | AFLAC | 45 | $57K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 139 | $1.3M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $178K |
| 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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.