| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLY J. MARTYNIEK3 Filed as: WALLY J. MARTYNEK | 721 THREE MILE RD STE 150 GRAND RAPIDS, MI 495448214 | BLUE CARE NETWORK OF MICHIGAN | $25K | $4K | $29K | 2.01% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD NW, STE 150 GRAND RAPIDS, MI 49544 | PRIORITY HEALTH | $28K | — | $28K | 3.25% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD STE 150 GRAND RAPIDS, MI 495448214 | BLUE CARE NETWORK OF MICHIGAN | $34K | — | $34K | 4.03% |
| SPECTRUM BENEFITS LLC3 | 721 3 MILE RD NW STE 150 GRAND RAPIDS, MI 495448244 | UNITEDHEALTHCARE INSURANCE COMPANY | $29K | — | $29K | 3.98% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD STE 150 GRAN RAPIDS, MI 495448214 | BLUE CARE NETWORK OF MICHIGAN | $25K | $801 | $26K | 4.33% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE ROAD STE 150 GRAND RAPIDS, MI 49544 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $11K | $696 | $12K | 2.60% |
| SPECTRUM BENEFITS LLC3 | 721 THREE MILE ROAD NW STE 150 GRAND RAPIDS, MI 49544 | DEARBORN LIFE INSURANCE COMPANY | $20 | — | $20 | 0.01% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE ROAD STE 150 GRAND RAPIDS, MI 49544 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $6K | — | $6K | 4.72% |
| WALLY J. MARTYNIEK3 Filed as: WALLY MARTYNIEK | 721 THREE MILE RD NW STE 150 GRAND RAPIDS, MI 49544 | PRIORITY HEALTH | $1K | — | $1K | 1.74% |
| WALLY J. MARTYNIEK3 | 721 THREE MILE RD NW, STE 150 GRAND RAPIDS, MI 49544 | PRIORITY HEALTH | $600 | — | $600 | 1.01% |
| SPECTRUM BENEFITS LLC3 Filed as: SPECTRUM BENEFITS | 721 THREE MILE ROAD GRAND RAPIDS, MI 49544 | EYEMED VISION CARE | $4K | — | $4K | 6.82% |
| SPECTRUM BENEFITS LLC3 | 721 THREE MILE ROAD NW STE 150 GRAND RAPIDS, MI 49544 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $3K | $79 | $3K | 15.41% |
| SPECTRUM BENEFITS LLC3 | 721 THREE MILE ROAD NW STE 150 GRAND RAPIDS, MI 49544 | DELTA DENTAL OF MICHIGAN | $929 | — | $929 | 9.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Other fees; Float revenue; Consulting (general); Claims processing Service code 12 | — | $128K |
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 | 864 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 119 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 984 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(11 contracts, 5 carriers) | BLUE CARE NETWORK OF MICHIGAN | 556 | $5.3M |
| Dental(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 556 | $545K |
| Vision | EYEMED VISION CARE | 1,004 | $53K |
| Life insurance(5 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 584 | $249K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 584 | $146K |
| Long-term disability(4 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 584 | $219K |
| Prescription drug(9 contracts, 4 carriers) | BLUE CARE NETWORK OF MICHIGAN | 556 | $4.5M |
| Other(4 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 584 | $219K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,004 | — |
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."
No prospect flags tripped on this filing.