| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38233 MOUND ROAD BUILDING F STERLING HEIGHTS, MI 483103466 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $17K | $35K | $52K | 10.55% |
| MICHAEL C WALKER3 Filed as: MICHAEL G BUCK | — | BLUE CROSS BLUE SHIELD OF MICHIGAN | $30K | — | $30K | 8.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Contract Administrator; Direct payment from the plan; Other fees; Claims processing; Insurance services; Float revenue Service code 12 | — | $227K |
| BENESYS INC EIN 38-6058023 NONE KNOWN | Accounting (including auditing); Other services; Participant communication; Direct payment from the plan; Claims processing; Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 10 | — | $76K |
| NOVARA, TESIJA PLLC EIN 38-3507129 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $54K |
| COMERICA BANK NONE KNOWN | Custodial (securities); Other fees; Direct payment from the plan Service code 19 | P.O.BOX 75000 DETROIT, MI 482758242 | $10K |
| WRUBEL WESLEY & COMPANY C.P.A.'S EIN 38-2574238 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
| MEKETA INVESTMENT GROUP INC. EIN 04-2659023 NONE KNOWN | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $8K |
| SEGAL CONSULTING NONE KNOWN | Actuarial; Direct payment from the plan Service code 11 | 1300 E. NINTH STREET #1900 CLEVELAND, OH 44114 | $6K |
| AMERICAN GRAPHICS NONE KNOWN | Direct payment from the plan; Copying and duplicating Service code 36 | 34895 GROESBECK HWY CLINTON TOWNSHIP, MI 48035 | $6K |
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 | 171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 145 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 316 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 155 | $349K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 751 | $35K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 269 | $42K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 155 | $349K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 225 | $497K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 269 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 751 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.