| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES W WATSON3 | 2000 OAK INDUSTRIAL DR NE STE B GRAND RAPIDS, MI 49505 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $32K | $9K | $41K | 6.81% |
| COLDBROOK INSURANCE GROUP3 | 2000 OAK INDUSTRIAL DRIVE NE STE B GRAND RAPIDS, MI 49505 | AMERICAN UNITED LIFE INSURANCE COMPANY | $9K | $0 | $9K | 12.30% |
| COLDBROOK INSURANCE GROUP3 Filed as: COLDBROOK INSURANCE GROUP LLC | 2000 OAK INDUSTRIAL DR NE STE B GRAND RAPIDS, MI 49505 | DELTA DENTAL OF MICHIGAN | $328 | — | $328 | 0.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Other fees; Direct payment from the plan; Float revenue; Insurance services; Consulting (general); Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $0 |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0 | $603K |
| Dental | DELTA DENTAL OF MICHIGAN | 234 | $60K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0 | $603K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 133 | $74K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 133 | $74K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 133 | $74K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0 | $603K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0 | $603K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.