| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | — | BLUE CROSS BLUE SHIELD OF MICHIGAN | $14K | $0 | $14K | 3.80% |
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | — | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | $0 | $8K | 6.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Direct payment from the plan; Other fees; Insurance services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Contract Administrator; Claims processing Service code 12 | — | $455K |
| TIC INTERNATIONAL CORP EIN 13-2600875 NONE | Direct payment from the plan; Contract Administrator; Accounting (including auditing) Service code 10 | — | $105K |
| JEFFREY LESSER NONE | Legal; Direct payment from the plan Service code 29 | 30300 NORTHWESTERN HIGHWAY FARMINGTON HILLS, MI 483343481 | $70K |
| THE SALUS GROUP EIN 20-2024076 NONE | Non-monetary compensation; Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $38K |
| DELTA DENTAL EIN 38-1791480 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Claims processing; Direct payment from the plan; Float revenue; Insurance services; Consulting (general) Service code 12 | — | $26K |
| COMERICA BANK EIN 38-0477375 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $21K |
| MEDREVIEW LLC NONE | Insurance brokerage commissions and fees; Non-monetary compensation; Insurance agents and brokers; Other commissions; Direct payment from the plan Service code 22 | 812 SOUTH BROAD STREET SUITE 14 THOMASVILLE, GA 31792 | $15K |
| WRUBEL WESLEY AND COMPANY C.P.A.'S EIN 38-2574238 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $10K |
| UAS NONE | Actuarial; Direct payment from the plan Service code 11 | 11590 NORTH MERIDAN SUITE #610 CARMEL, IN 460324529 | $8K |
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 | 515 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 81 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 596 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 81 | $115K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 620 | $27K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 81 | $115K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 545 | $366K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 620 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 620 | — |
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.