| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PARKWAY SE STE 160 GRAND RAPIDS, MI 49546 | DEARBORN LIFE INSURANCE COMPANY | $60K | $5K | $65K | 8.24% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 775 YARD STREET STE 200 COLUMBUS, OH 43212 | DEARBORN LIFE INSURANCE COMPANY | $60K | — | $60K | 7.57% |
| RAYMOND D DEWEY3 | 333 BRIDGE ST NW STE 710 GRAND RAPIDS, MI 49504 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $56K | $59K | $115K | 18.09% |
| AGENT ALLIANCE CORPORATION3 Filed as: AGENT/AGENCY NAME NOT FOUND | — | BLUE CROSS BLUE SHIELD OF MICHIGAN | $23K | — | $23K | 3.54% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MICHIGAN (GR RAPIDS) | 333 BRIDGE ST NW STE 710 GRAND RAPIDS, MI 49504 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $6K | $6K | 0.98% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST INC | 775 YARD STREET STE 200 COLUMBUS, OH 43212 | NATIONAL VISION ADMINISTRATORS LLC | $6K | — | $6K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA INC | 4951 LK BRK DR STE 400 GLEN ALLEN, VA 23060 | — | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MI EIN 38-2069753 TPA | Insurance services; Other fees; Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Float revenue; Contract Administrator Service code 12 | — | $750K |
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 | 893 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 893 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 893 | $637K |
| Dental | 0 | $0 | |
| Vision(2 contracts, 2 carriers) | NATIONAL VISION ADMINISTRATORS LLC | 1,492 | $61K |
| Life insurance(3 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 1,425 | $786K |
| Short-term disability | 0 | $0 | |
| Long-term disability | 0 | $0 | |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 893 | $637K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,492 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.