| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 26555 EVERGREEN ROAD 410 SOUTHFIELD, MI 48076 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $1K | — | $1K | 0.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Other fees; Float revenue; Direct payment from the plan; Consulting (general); Insurance services; Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.6M |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Contract Administrator; Direct payment from the plan Service code 10 | — | $346K |
| MORGAN STANLEY EIN 26-4310632 NONE | Securities brokerage; Other services; Other fees; Direct payment from the plan; Other investment fees and expenses; Custodial (securities); Investment advisory (plan); Securities brokerage commissions and fees Service code 19 | — | $242K |
| REINHART, BOERNER, VAN DEUREN S.C. EIN 39-1126909 NONE | Legal; Direct payment from the plan Service code 29 | — | $109K |
| MICHAEL G. BUCK NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Non-monetary compensation; Other fees; Other commissions Service code 22 | 26555 EVERGREEN ROAD 410 SOUTHFIELD, MI 48076 | $96K |
| WEDGE CAPITAL MANAGEMENT EIN 56-1557450 NONE | Direct payment from the plan; Investment management Service code 28 | — | $33K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $22K |
| SACHS WALDMAN, PROFESSIONAL CORP. EIN 38-1905521 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| BENEFIT PARTNERS AGENCY NONE | Insurance brokerage commissions and fees; Other fees; Other commissions; Insurance agents and brokers; 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 | 2,056 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,203 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 1,216 | $3.5M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN - MEDICARE ADVANTAGE | 1,216 | $3.5M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 3,259 | $323K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,259 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.