| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND CO INC | PO BOX 1801 ADRIAN, MI 492217801 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $44K | $2K | $46K | 5.05% |
| ACTION BENEFITS COMPANY3 | 24600 NORTHWESTERN SOUTHFIELD, MI 48075 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | $0 | $3K | 0.35% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND CO INC | PO BOX 1801 ADRIAN, MI 492217801 | BLUE CARE NETWORK OF MICHIGAN | $42K | $0 | $42K | 5.77% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND CO INC | 1201 BRIARWOOD CIR ANN ARBOR, MI 48108 | DELTA DENTAL OF MICHIGAN | $7K | $0 | $7K | 4.70% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND CO INC | 333 INDUSTRIAL DRIVE ADRIAN, MI 492218780 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $0 | $11K | 12.03% |
| KAPNICK & COMPANY, INC.3 Filed as: KAPNICK AND CO INC | PO BOX 1801 ADRIAN, MI 492217801 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.14% |
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 | 222 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 261 | $1.6M |
| Dental | DELTA DENTAL OF MICHIGAN | 397 | $157K |
| Vision | VISION SERVICE PLAN | 170 | $24K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 222 | $87K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 222 | $87K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 261 | $1.6M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 222 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 397 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.