| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | 38233 MOUND ROAD, BLDG F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | $32K | — | $32K | 3.33% |
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38233 MOUND ROAD, BLDG F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $12K | — | $12K | 1.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Insurance services; Float revenue; Contract Administrator; Other fees Service code 13 | — | $820K |
| BENESYS INC EIN 38-2383171 NONE | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 10 | — | $245K |
| NOVARA TESIJA PLLC EIN 38-2823147 NONE | Legal; Direct payment from the plan Service code 29 | — | $176K |
| LAURA SCOTT NONE | Direct payment from the plan; Employee (plan) Service code 30 | 700 TOWER DRIVE, STE 215 TROY, MI 48098 | $76K |
| CALL A DOCTOR NONE | Consulting (general); Direct payment from the plan Service code 16 | PO BOX 361 CANTON, MI 48017 | $71K |
| HEATHER LIGGETT NONE | Direct payment from the plan; Employee (plan) Service code 30 | 700 TOWER DR, 215 TROY, MI 480980000 | $64K |
| BRENDA O'MALLEY NONE | Direct payment from the plan; Employee (plan) Service code 30 | 700 TOWER DR, 215 TROY, MI 48098 | $63K |
| STACEY LOVELACE NONE | Employee (plan); Direct payment from the plan Service code 30 | 700 TOWER DRIVE, 215 TROY, MI 48098 | $59K |
| CHRISTINA BLANKENSHIP NONE | Direct payment from the plan; Employee (plan) Service code 30 | 700 TOWER DR, 215 TROY, MI 48098 | $58K |
| ROWLA YOUSIF NONE | Direct payment from the plan; Employee (plan) Service code 30 | 700 TOWER DR, 215 TROY, MI 48098 | $55K |
| JOCELYN PHILLIPS NONE | Employee (plan); Direct payment from the plan Service code 30 | 700 TOWER DR, 215 TROY, MI 48098 | $53K |
| SALUS GROUP NONE | Direct payment from the plan; Consulting (general) Service code 16 | 38233 MOUND RD., BLDG F STERING HEIGHTS, MI 48310 | $49K |
| QUADIENT FINANCE NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 6813 CAROL STREAM, IL 601976813 | $43K |
| STEFANSKY, HOLLOWAY, NICHOLS, INC EIN 38-2388845 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $43K |
| BENDA, GRACE, STULZ & COMPANY PC EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $27K |
| AMERICAN GRAPHICS NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 34895 GROESBECK HWY CLINTON TWP, MI 48035 | $21K |
| WATKINS, PAWLICH, CALATI & PRIFTI NONE | Legal; Direct payment from the plan Service code 29 | 1423 E 12 MILE RD MADISON HEIGHTS, MI 48071 | $12K |
| MORGAN STANLEY NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 22 PARK STREET BIRMINGHAM, MI 48009 | $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 | 1,575 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 516 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,091 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 319 | $951K |
| Dental | DENCAP DENTAL PLAN | 222 | $177K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 319 | $951K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 4,215 | $820K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,215 | — |
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."
No prospect flags tripped on this filing.