| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC Filed as: LOCKTON DUNNING BENEFITS | 2100 ROSS AVENUE #1200 DALLAS, TX 75201 | GENWORTH INSURANCE COMPANY | $70K | — | $70K | 14.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Other fees; Float revenue; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Insurance services; Contract Administrator; Claims processing Service code 12 | 600 E LAFAYETTE BLVD DETROIT, MI 48226 | $3.2M |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 BENEFIT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 27500 STANSBURY BLVD FARMINGTON HILLS, MI 48334 | $282K |
| COMPSYCH EIN 36-3739783 EAP | Consulting (general); Participant communication; Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | NBC TOWER, 13TH FLOOR 455 N. CITYFRONT PLAZA DRIVE CHICAGO, IL 60611 | $159K |
| LIBERTY LIFE INSURANCE COMPANY EIN 04-6076039 TPA | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Consulting (general); Investment management; Contract Administrator Service code 12 | 175 BERKELEY STREET BOSTON, MA 02116 | $497 |
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 | 8,017 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 530 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 8,547 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 740 | $3.9M |
| Dental | DELTA DENTAL OF MICHIGAN | 16,200 | $6.0M |
| Vision | VISION SERVICE PLAN | 5,455 | $1.6M |
| Life insurance | LIBERTY LIFE INSURANCE COMPANY OF BOSTON | 11,596 | $4.9M |
| Short-term disability | LIBERTY LIFE INSURANCE COMPANY OF BOSTON | 7,451 | $214K |
| Long-term disability | LIBERTY LIFE INSURANCE COMPANY OF BOSTON | 7,583 | $2.0M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0 | $0 |
| Other(4 contracts, 4 carriers) | GENWORTH INSURANCE COMPANY | 8,177 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,200 | — |
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.