| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE ROAD NW, SUITE 150 GRAND RAPIDS, MI 49544 | BLUE CARE NETWORK OF MICHIGAN | $32K | — | $32K | 2.85% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 49544 | BLUE CARE NETWORK OF MICHIGAN | $31K | — | $31K | 3.39% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 49544 | PRIORITY HEALTH | $20K | — | $20K | 2.72% |
| SPECTRUM BENEFITS LLC3 | 721 THREE MILE RD, SUITE 150 GRAND RAPIDS, MI 495448214 | BLUE CARE NETWORK OF MICHIGAN | $33K | — | $33K | 5.45% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE ROAD NW, SUITE 150 GRAND RAPIDS, MI 49544 | BLUE CARE NETWORK OF MICHIGAN | $21K | — | $21K | 5.44% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD, SUITE 150 GRAND RAPIDS, MI 495448214 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $5K | $308 | $5K | 5.35% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 49544 | NATIONAL GUARDIAN LIFE | $3K | — | $3K | 3.64% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 49544 | PRIORITY HEALTH | $2K | — | $2K | 2.43% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE ROAD NW, SUITE 150 GRAND RAPIDS, MI 49544 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 7.82% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 49544 | PRIORITY HEALTH | $506 | — | $506 | 1.19% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 49544 | BLUE CARE NETWORK OF MICHIGAN | $323 | — | $323 | 2.42% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE RD NW, SUITE 150 GRAND RAPIDS, MI 495448224 | VISION SERVICE PLAN | $891 | — | $891 | 7.24% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS, LLC | 721 THREE MILE ROAD NW, SUITE 150 GRAND RAPIDS, MI 495448224 | VISION SERVICE PLAN | $691 | — | $691 | 8.42% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Other fees; Insurance services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Direct payment from the plan Service code 12 | — | $129K |
| WALLY J. MARTYNIEK AGENT/BROKER | Non-monetary compensation; Other fees; Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 721 THREE MILE RD STE 150 GRAND RAPIDS, MI 495448214 | $0 |
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 | 777 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 11 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 789 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(11 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 308 | $4.0M |
| Dental | NATIONAL GUARDIAN LIFE | 167 | $88K |
| Vision(2 contracts) | VISION SERVICE PLAN | 148 | $21K |
| Life insurance(5 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 306 | $259K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 198 | $130K |
| Long-term disability(5 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 306 | $228K |
| Prescription drug(11 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 308 | $4.0M |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 306 | $227K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 308 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.