| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS STE 170 TROY, MI 480831212 | BLUE CARE NETWORK OF MICHIGAN | $86K | — | $86K | 2.26% |
| GOODMAN VENEGAS INSURANCE AGENCY3 | 2800 LIVERNOIS RD STE 170 TROY, MI 480831212 | BLUE CARE NETWORK OF MICHIGAN | $4K | — | $4K | 0.11% |
| GOODMAN VENEGAS INSURANCE AGENCY | 2800 LIVERNOIS RD STE 170 TROY, MI 480831212 | GUARDIAN HEALTH | $56K | $2K | $58K | 9.87% |
| REGINA JESSUP GOODMAN3 | 2800 LIVERNOIS RD STE 170 TROY, MI 480831212 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | — | $8K | 1.88% |
| GOODMAN VENEGAS INSURANCE AGENCY3 | 2800 LIVERNOIS RD STE 170 TROY, MI 480831212 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | — | $3K | 0.85% |
| GOODMAN VENEGAS INSURANCE AGENCY | 2800 LIVERNOIS RD STE 170 TROY, MI 480831212 | EYEMED | $4K | — | $4K | 10.10% |
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 | 454 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 456 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 578 | $4.2M |
| Dental(2 contracts, 2 carriers) | GUARDIAN HEALTH | 454 | $986K |
| Vision | EYEMED | 302 | $38K |
| Life insurance | GUARDIAN HEALTH | 454 | $585K |
| Short-term disability | GUARDIAN HEALTH | 454 | $585K |
| Long-term disability | GUARDIAN HEALTH | 454 | $585K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 578 | $4.2M |
| Other | GUARDIAN HEALTH | 454 | $585K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 578 | — |
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.