| 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 | $77K | — | $77K | 4.06% |
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | 38223 MOUND RD BLDG F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $99K | $99K | 18.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Contract Administrator; Consulting (general); Direct payment from the plan; Other fees; Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $1.5M |
| TIC MIDWEST EIN 13-2600875 NONE | Claims processing; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Plan Administrator Service code 10 | — | $451K |
| LABORERS JOINT DELIQUENCY COMM. EIN 38-2286296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $323K |
| EAGLE CAPITAL MGMT EIN 22-3361201 NONE | Investment management; Direct payment from the plan Service code 28 | — | $187K |
| DELTA DENTAL NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 16082 COLLECTION CENTER D CHICAGO, IL 60603 | $86K |
| GW&K INVESTMENT MGMT NONE | Direct payment from the plan; Investment management Service code 28 | 222 BERKELEY ST BOSTON, MA 02116 | $32K |
| BENDA, GRACE, STULZ & COMPANY P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| CLEARBRIDGE INVESTMENT LLC NONE | Direct payment from the plan; Investment management Service code 28 | 620 8TH AVENUE 48TH FLOOR NEW YORK, NY 10009 | $30K |
| MORGAN STANLEY EIN 24-4310632 NONE | Investment management; Direct payment from the plan Service code 28 | — | $29K |
| NORTHERN TRUST EIN 38-0056147 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $22K |
| TRADE SOLUTIONS NONE | Copying and duplicating; Direct payment from the plan Service code 36 | PO BOX 1318 CLARKSTON, MI 48348 | $15K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $11K |
| WATKINS, PAWLICK, CALATI & PRFITI NONE | Direct payment from the plan; Legal Service code 29 | 1423 E 12 MILE ROAD MADISON HEIGHTS, MI 48071 | $9K |
| SMART BUSINESS SOURCE NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 500 N. LARCH ST LANSING, MI 48912 | $9K |
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 | 1,826 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 634 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,460 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 696 | $1.9M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 696 | $1.9M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,965 | $546K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,965 | — |
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.