| 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 - MEDICARE ADVANTAGE | $58K | — | $58K | 4.37% |
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38221 MOUND ROAD STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $942 | — | $942 | 0.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Other fees; Float revenue; Consulting (general); Claims processing Service code 12 | — | $1.3M |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Accounting (including auditing); Direct payment from the plan; Claims processing; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $422K |
| LABORERS' JOINT DELINQUENCY COMM. EIN 38-2286296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $193K |
| EAGLE CAPITAL MANAGEMENT EIN 22-3361201 NONE | Investment management; Direct payment from the plan Service code 28 | — | $127K |
| LEGGHIO & ISRAEL EIN 38-1971448 NONE | Legal; Direct payment from the plan Service code 29 | — | $117K |
| MICHAEL G. BUCK NONE | Insurance brokerage commissions and fees; Other fees; Insurance agents and brokers; Other commissions; Non-monetary compensation Service code 22 | 38221 MOUND ROAD STERLING HEIGHTS, MI 48310 | $79K |
| MCDONELL INVESTMENTS NONE | Direct payment from the plan; Investment management Service code 28 | 1515 W. 22ND STREET OAKBROOK, IL 60523 | $56K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Consulting (general); Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $30K |
| MORGAN STANLEY EIN 26-4310632 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $24K |
| NORTHERN TRUST COMPANY EIN 38-0056147 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $22K |
| GW&K INVESTMENT MANAGEMENT NONE | Investment management; Direct payment from the plan Service code 28 | 222 BERKELEY STREET BOSTON, MA 02116 | $18K |
| TRADE SOLUTIONS NONE | Direct payment from the plan; Copying and duplicating Service code 36 | PO BOX 1318 CLARKSTON, MI 48347 | $16K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $9K |
| DBI BUSINESS INTERIORS NONE | Copying and duplicating; Direct payment from the plan Service code 36 | PO BOX 15247 LANSING, MI 48901 | $8K |
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 | 1,595 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 803 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,398 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 773 | $1.3M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 773 | $1.3M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 2,273 | $324K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,273 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.