| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH | 12421 MEREDITH DRIVE URBANDALE, IA 50398 | EXPRESS SCRIPTS, INC. | $28K | — | $28K | 2.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERCER EIN 13-3109248 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $276K |
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $270K |
| FIRST PERSON CONSULTING EIN 35-2045879 CONSULTING | Direct payment from the plan; Consulting fees Service code 50 | — | $194K |
| SOMERSET CPAS, P.C. EIN 20-1717681 AUDITOR | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| COMERICA BANK EIN 38-0477375 CUSTODIAN | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $16K |
| KATZ SAPPER & MILLER, LLP EIN 35-1090346 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $9K |
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 | 4,585 | 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) | 4,585 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 3,080 | $12.8M |
| Dental | BLUE CROSS BLUE SHIELD OF MICHIGAN | 3,080 | $12.8M |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 3,080 | $12.8M |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 4,585 | $4.2M |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 3,080 | $14.1M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 4,585 | $4.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,585 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.