| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK T. WIRA3 Filed as: MARK T WIRA | 729 WEST ANN ARBOR TRAIL PLYMOUTH, MI 48170 | BLUE CARE NETWORK OF MICHIGAN | $30K | $0 | $30K | 3.26% |
| MT & W ASSOCIATES, INC.3 Filed as: MT AND W ASSOCIATES, INC. | 729 WEST ANN ARBOR TRAIL PLYMOUTH, MI 48170 | BLUE CARE NETWORK OF MICHIGAN | $0 | $610 | $610 | 0.07% |
| MARK T. WIRA3 Filed as: MARK T WIRA | 729 WEST ANN ARBOR TRAIL PLYMOUTH, MI 48170 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | $0 | $8K | 3.98% |
| MT & W ASSOCIATES, INC.3 Filed as: MT AND W ASSOCIATES, INC. | 729 WEST ANN ARBOR TRAIL PLYMOUTH, MI 48170 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $525 | $525 | 0.27% |
| WALTON AGENCY, INC.3 Filed as: WALTON AGENCY LLC | 2929 SPRING ARBOR ROAD JACKSON, MI 49204 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $1K | $10K | 15.39% |
| ANN ARBOR FINANCIAL3 | 729 WEST ANN ARBOR TRAIL SUITE 100 PLYMOUTH, MI 48170 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $239 | $2K | 2.99% |
| PARTNERS ADVANTAGE LLC3 | 729 WEST ANN ARBOR TRAIL SUITE 100 PLYMOUTH, MI 48170 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $416 | $0 | $416 | 0.65% |
| MT & W ASSOCIATES, INC.3 Filed as: MT AND W ASSOCIATES, INC. | 729 WEST ANN ARBOR TRAIL PLYMOUTH, MI 48170 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.11% |
| PARTNERS ADVANTAGE LLC3 | 729 WEST ANN ARBOR TRAIL PLYMOUTH, MI 48170 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.63% |
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 165 | $1.1M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 217 | $54K |
| Vision(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 165 | $1.1M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 141 | $64K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 141 | $64K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 141 | $64K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 165 | $1.1M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 141 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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.