| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | 38223 MOUND ROAD BUILDING F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | $93K | — | $93K | 3.44% |
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | 38223 MOUND RD. BUILDING F STERLING HEIGHTS, MI 48310 | BLUE CARE NETWORK OF MICHIGAN | $52K | — | $52K | 1.96% |
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | 38223 MOUND RD. BLDG F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $36K | — | $36K | 3.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator; Participant communication; Copying and duplicating; Direct payment from the plan; Other services Service code 12 | — | $541K |
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Other fees; Float revenue; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Insurance services; Contract Administrator; Claims processing Service code 12 | — | $526K |
| MORGAN STANLEY SMITH BARNEY, LLC EIN 26-4310632 NONE | Consulting fees; Other investment fees and expenses; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Investment advisory (plan); Custodial (securities); Other commissions; Securities brokerage; Securities brokerage commissions and fees; Investment management fees paid directly by plan Service code 15 | — | $105K |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $89K |
| WATKINS PAWLICK CALATI PRIFTI PC EIN 83-2893229 NONE | Legal; Direct payment from the plan Service code 29 | — | $71K |
| STEFANSKY HOLLOWAY NICHOLS EIN 38-2388845 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $64K |
| AMERICAN GRAPHICS PRINTING COMPANY EIN 38-2090931 NONE | Direct payment from the plan; Participant communication; Copying and duplicating Service code 36 | — | $44K |
| PNC FINANCIAL SERVICES GROUP NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | 755 W BIG BEAVER, STE 24 TROY, MI 48084 | $38K |
| ULINACE, INC NONE | Other services; Direct payment from the plan Service code 49 | 900 TOWER DRIVE 600 TROY, MI 480980000 | $35K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| SALUS GROUP EIN 38-6233978 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $18K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 13 | — | $15K |
| LEGG MASON & COMPANY, LLC NONE | Direct payment from the plan; Investment management Service code 28 | 13985 COLLECTIONS CTR DR CHICAGO, IL 606930139 | $13K |
| THE SEGAL COMPANY, INC. EIN 13-1975125 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $8K |
| ARISTOTLE FUNDS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 235 W GALENA STREET MILWAUKEE, WI 53212 | $0 |
| BOYD WATTERSON NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 1801 E 9TH ST, STE 1400 CLEVELAND, OH 44114 | $0 |
| CLEARBRIDGE INVESTMENTS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 620 EIGHTH AVENUE NEW YORK, NY 10018 | $0 |
| COHEN & STEERS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 280 PARK AVE, 10 TH FLOOR NEW YORK, NY 10017 | $0 |
| EARNEST PARTNERS NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 1180 PEACHTREE, STE 2300 ATLANTA, GA 30309 | $0 |
| MASSACHUSETTS FINANCIAL SERVICES CO EIN 04-2747644 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $0 |
| PIONEER ASSET MANAGEMENT NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | PO BOX 219427 KANSAS CITY, MO 64121 | $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 | 1,444 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 657 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 945 | $2.7M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 945 | $2.7M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,102 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,102 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.