| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RONALD R SCHOEN3 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | BLUE CROSS BLUE SHIELD | $5K | $19K | $24K | 16.49% |
| EMPLOYEE BENEFIT RESOURCES3 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | COMPANION LIFE | $5K | — | $5K | 9.07% |
| BENEFIT PROFILES INC3 Filed as: BENEFIT PROFILES INC. | 4500 CASCADE ROAD SE STE 106 GRAND RAPIDS, MI 49546 | COMPANION LIFE | $2K | — | $2K | 4.54% |
| EMPLOYEE BENEFIT RESOURCES3 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | VISION SERVICE PLAN | $2K | — | $2K | 4.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Other fees; Float revenue; Direct payment from the plan; Consulting (general); Insurance services; Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $144K |
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 | 229 | 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) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 201 | $146K |
| Vision | VISION SERVICE PLAN | 102 | $36K |
| Life insurance | COMPANION LIFE | 229 | $53K |
| Long-term disability | COMPANION LIFE | 229 | $53K |
| Other | COMPANION LIFE | 229 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.