| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38221 MOUND ROAD STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $823 | — | $823 | 0.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Consulting (general); Insurance services; Direct payment from the plan; Other fees; Contract Administrator Service code 12 | — | $1.2M |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Plan Administrator; Direct payment from the plan Service code 10 | — | $413K |
| LABORERS' JOINT DELINQUENCY COMM. EIN 38-2286296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $177K |
| EAGLE CAPITAL MANAGEMENT EIN 22-3361201 NONE | Investment management; Direct payment from the plan Service code 28 | — | $101K |
| MICHAEL G. BUCK NONE | Other commissions; Non-monetary compensation; Insurance agents and brokers; Insurance brokerage commissions and fees; Other fees Service code 22 | 38221 MOUND ROAD STERLING HEIGHTS, MI 48310 | $79K |
| LEGGHIO & ISRAEL EIN 38-1971448 NONE | Legal; Direct payment from the plan Service code 29 | — | $69K |
| MCDONELL INVESTMENTS NONE | Direct payment from the plan; Investment management Service code 28 | 1515 W. 22ND STREET OAKBROOK, IL 60523 | $52K |
| MORGAN STANLEY EIN 26-4310632 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $24K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $23K |
| TRADE SOLUTIONS NONE | Copying and duplicating; Direct payment from the plan Service code 36 | PO BOX 1318 CLARKSTON, MI 48347 | $22K |
| THE NORTHERN TRUST COMPANY EIN 38-0056147 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $22K |
| GW&K INVESTMENT MANAGEMENT NONE | Direct payment from the plan; Investment management Service code 28 | 222 BERKELEY STREET BOSTON, MA 02116 | $12K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $12K |
| DBI BUSINESS INTERIORS NONE | Copying and duplicating; Direct payment from the plan Service code 36 | PO BOX 15247 LANSING, MI 48901 | $9K |
| BENEFIT PARTNERS AGENCY NONE | Other fees; Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees; Non-monetary compensation Service code 22 | 38221 MOUND ROAD STERLING HEIGHTS, MI 48310 | $5K |
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 | 1,456 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 833 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,289 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 776 | $716K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 776 | $716K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 2,289 | $265K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,289 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.