| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIANE D. WHEELOCK3 | 120 W SAGINAW ST EAST LANSING, MI 48854 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $56K | — | $56K | 3.01% |
| MSMS PHYSICIANS INSURANCE AGENCY3 Filed as: MSMS PHYSICIANS INSURANCE AGY | 1305 N. ABBOTT ROAD, SUITE 200 EAST LANSING, MI 488232605 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $579 | $579 | 0.03% |
| MSMS PHYSICIANS INSURANCE AGENCY3 Filed as: MSMS PHYSICIAN SERVICES, INC. | 120 W SAGINAW ST EAST LANSING, MI 48823 | DELTA DENTAL OF MICHIGAN | $5K | — | $5K | 4.66% |
| MSMS PHYSICIANS INSURANCE AGENCY3 Filed as: MSMS PHYSICIANS INS AGENCY | PO BOX 950 EAST LANSING, MI 488260950 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 12.24% |
| MSMS PHYSICIANS INSURANCE AGENCY3 Filed as: MSMS-PHYSICIANS INSURANCE AGENCY | 120 W SAGINAW ST EAST LANSING, MI 488232605 | VISION SERVICE PLAN | $220 | — | $220 | 1.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DIANE D. WHEELOCK BROKER | Other commissions; Insurance brokerage commissions and fees; Non-monetary compensation; Other fees; Insurance agents and brokers Service code 22 | 120 W SAGINAW ST EAST LANSING, MI 48854 | $56K |
| MSMS - PHYSICIANS INSURANCE AGENCY BROKER | Insurance agents and brokers; Insurance brokerage commissions and fees; Non-monetary compensation; Other commissions; Other fees Service code 22 | 120 W SAGINAW ST EAST LANSING, MI 48823 | $12K |
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 | 125 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 250 | $1.9M |
| Dental | DELTA DENTAL OF MICHIGAN | 250 | $114K |
| Vision | VISION SERVICE PLAN | 95 | $17K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 189 | $50K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 250 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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.