| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID N SOKOL3 | 901 WILSHIRE DRIVE SUITE 330 TROY, MI 48084 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | $23K | $26K | 8.96% |
| MICHAEL WONG3 | 4427 TALMADGE ROAD TOLEDO, OH 43623 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $7K | $14K | $21K | 7.14% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 48084 | GUARDIAN | $9K | — | $9K | 5.60% |
| SAVAGE & ASSOCIATES INC3 Filed as: SAVAGE AND ASSOCIATES INC | 4427 TALMADGE ROAD TOLEDO, OH 43623 | GUARDIAN | $1K | $6K | $8K | 4.45% |
| STRUCTURED BENEFITS3 Filed as: STRUCTURED BENEFITS LLC | 5217 MONROE ST SUITE B2-2 TOLEDO, OH 43623 | TRANSAMERICA LIFE INSURANCE COMPANY | $5K | — | $5K | 6.83% |
| KEITH SILVERNAIL3 | 5217 MONROE ST SUITE B2-2 TOLDEO, OH 43623 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 5.21% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: NANCY BROWN | 5217 MONROE ST SUITE B2-2 TOLDEO, OH 43623 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 5.21% |
| WILSHIRE BENEFITS GROUP INC3 | 901 WILSHIRE DRIVE SUITE 300 TROY, MI 480845611 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 1.66% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Other fees; Direct payment from the plan; Contract Administrator; Claims processing; Insurance services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 12 | — | $147K |
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 | 217 | 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) | 217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN | 217 | $169K |
| Vision | GUARDIAN | 217 | $169K |
| Life insurance | GUARDIAN | 217 | $169K |
| Short-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 83 | $71K |
| Long-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 83 | $71K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 181 | $291K |
| Other | GUARDIAN | 217 | $169K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.