| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VIRGINIA GIBSON3 | 120 W SAGINAW EAST LANSING, MI 488548854 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $21K | — | $21K | 1.90% |
| MSMS PHYSICIANS INSURANCE AGENCY3 Filed as: MSMS PHYSICIAN SERVICES, INC. | 120 W SAGINAW ST EAST LANSING, MI 48823 | DELTA DENTAL OF MICHIGAN | $4K | — | $4K | 4.82% |
| MSMS PHYSICIANS INSURANCE AGENCY3 | 120 W SAGINAW ST E LANSING, MI 48823 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.45% |
| MSMS PHYSICIANS INSURANCE AGENCY3 | 120 W SAGINAW ST E LANSING, MI 48823 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| MSMS PHYSICIANS INSURANCE AGENCY3 Filed as: MSMS-PHYSICIANS INSURANCE AGENCY | 120 W SAGINAW ST EAST LANSING, MI 48823 | VISION SERVICE PLAN | $715 | — | $715 | 5.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| VIRGINIA GIBSON BROKER | Other fees; Insurance agents and brokers; Insurance brokerage commissions and fees; Non-monetary compensation; Other commissions Service code 22 | 120 W SAGINAW EAST LANSING, MI 48854 | $21K |
| MSMS - PHYSICIANS INSURANCE AGENCY BROKER | Other fees; Other commissions; Insurance brokerage commissions and fees; Non-monetary compensation; Insurance agents and brokers Service code 22 | 120 W SAGINAW ST EAST LANSING, MI 48823 | $11K |
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 | 114 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 182 | $1.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 166 | $87K |
| Vision | VISION SERVICE PLAN | 65 | $14K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 82 | $57K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 82 | $32K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 182 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.