| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RONALD R SCHOEN3 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | BLUE CROSS BLUE SHIELD | $7K | $19K | $27K | 14.22% |
| EMPLOYEE BENEFIT RESOURCES3 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | COMPANION LIFE | $10K | — | $10K | 16.18% |
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 | COMPANION LIFE | $4K | — | $4K | 7.27% |
| AGENT ALLIANCE CORPORATION3 | 500 CASCADE WEST PARKWAY SUITE 160 GRAND RAPIDS, MI 49546 | COMPANION LIFE | $490 | — | $490 | 0.81% |
| EMPLOYEE BENEFIT RESOURCES3 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | VISION SERVICE PLAN | $2K | — | $2K | 4.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Insurance services; Other fees; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator; Direct payment from the plan; Consulting (general) Service code 12 | — | $192K |
| RONALD R SCHOEN INSURANCE AGENT/BROKER | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers; Other fees; Non-monetary compensation Service code 22 | 6628 DIXIE HWY BRIDGEPORT, MI 48722 | $27K |
| EMPLOYEE BENEFIT RESOURCES INSURANCE AGENT/BROKER | Other commissions; Non-monetary compensation; Other fees; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 6628 DIXIE BRIDGEPORT, MI 48722 | $10K |
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 | 241 | 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) | 241 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 211 | $187K |
| Vision | VISION SERVICE PLAN | 115 | $41K |
| Life insurance | COMPANION LIFE | 241 | $61K |
| Long-term disability | COMPANION LIFE | 241 | $61K |
| Other | COMPANION LIFE | 241 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 241 | — |
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.