| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | — | BLUE CROSS BLUE SHIELD OF MI | $16K | $362 | $16K | 3.58% |
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | — | BLUE CROSS BLUE SHIELD | $9K | — | $9K | 6.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Consulting (general); Other fees; Float revenue; Insurance services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan Service code 12 | — | $418K |
| TIC INTERNATIONAL CORP EIN 13-2600875 NONE | Accounting (including auditing); Contract Administrator; Direct payment from the plan Service code 10 | — | $109K |
| JEFFREY M LESSER NONE | Legal; Direct payment from the plan Service code 29 | 30300 NORTHWESTERN HIGHWAY STE 320 FARMINGTON HILLS, MI 48334 | $68K |
| THE SALUS GROUP EIN 20-2024076 NONE | Non-monetary compensation; Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $38K |
| PNC BANK EIN 22-1146430 NONE | Account maintenance fees; Direct payment from the plan Service code 50 | — | $27K |
| DELTA DENTAL EIN 38-1791480 NONE | Insurance services; Direct payment from the plan; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $22K |
| COMERICA BANK EIN 38-0477375 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $20K |
| ULLICO EMPLOYEE ASSISTANCE NONE | Other insurance fees and expenses; Direct payment from the plan Service code 50 | 8403 COLESVILLE ROAD SILVER SPRINGS, MD 20910 | $16K |
| WRUBEL WESLEY & CO CPAS 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 |
| GRAND TRAVERSE RESORT EIN 32-0077845 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
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 | 556 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 36 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 592 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 89 | $129K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 577 | $27K |
| Prescription drug | BLUE CROSS BLUE SHIELD | 89 | $129K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MI | 550 | $460K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 577 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 577 | — |
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.