| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILSON PARTNERS II, LLC3 Filed as: WILSON PARTNERS II LLC | 2250 BUTTERFIELD DR SUITE 210 TROY, MI 480843478 | DELTA DENTAL OF MICHIGAN | $4K | — | $4K | 5.96% |
| WILSON PARTNERS II, LLC3 Filed as: WILSON PARTNERS II LLC | 2250 BUTTERFIELD DR SUITE 210 TROY, MI 480843478 | VISION SERVICE PLAN | $902 | $0 | $902 | 6.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGANN EIN 38-2069753 TPA | Other fees; Consulting (general); Float revenue; Insurance services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | 600 E. LAFAYETTE BLVD DETROIT, MI 482262998 | $85K |
| WILSON PARTNERS II LLC EIN 74-3127886 BROKER | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees; Non-monetary compensation Service code 22 | 2250 BUTTERFIELD DR SUITE 210 TROY, MI 480843478 | $14K |
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 | 177 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MICHIGAN | 202 | $74K |
| Vision | VISION SERVICE PLAN | 84 | $14K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 164 | $42K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 164 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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.