| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL | 75 REMITTANCE DRIVE LOCKBOX 1446 ACCT#302152 CHICAGO, IL 60675 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 11.00% |
| FINDLEY DAVIES AGENCY, LLC3 Filed as: FINDLEY DAVIES LLC | ONE SEAGATE SUITE 2050 TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $651 | — | $651 | 15.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Contract Administrator; Direct payment from the plan; Consulting (general); Other fees; Claims processing; Insurance services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.0M |
| CIGNA BEHAVIORAL HEALTH, INC. EIN 41-1648670 TPA | Contract Administrator; Claims processing; Direct payment from the plan; Participant communication Service code 12 | — | $37K |
| JON D SNEED AGENT | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 50 LOUIS ST. NW STE 200 GRAND RAPIDS, MI 495032634 | $36K |
| MATTHEW P MCCULLOUGH AGENT | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | ONE SEAGATE SUITE 2050 TOLEDO, OH 436041558 | $13K |
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 | 1,489 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 180 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,669 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 88 | $1K |
| Dental | DELTA DENTAL OF MICHIGAN | 3,448 | $1.0M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,633 | $563K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 303 | $236K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 573 | $255K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,669 | $828K |
| Other(3 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,344 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,448 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.