| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DARRIS FRANK GAROUFALIS3 Filed as: DARRIS FRANK GAROUFALIX | 700 TOWER DR STE 300 TROY, MI 48098 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $33K | — | $33K | 3.50% |
| BENESYS INC3 | 700 TOWER DR STE 300 TROY, MI 48098 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $12K | — | $12K | 1.25% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 THIRD-PARTY ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Float revenue; Consulting (general); Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees Service code 13 | — | $484K |
| BENESYS EIN 38-2383171 CONTRACT ADMINISTRATOR | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 700 TOWER DR, STE 300 TROY, MI 480991218 | $142K |
| THE SEGAL COMPANY ACTUARY | Actuarial Service code 11 | 2000 TOWN CENTER, SUITE 1900 SOUTHFIELD, MI 48075 | $34K |
| MANER COSTERISAN, P.C. EIN 38-2157642 AUDITOR | Accounting (including auditing) Service code 10 | 2425 E GRAND RIVER AVE LANSING, MI 48912 | $22K |
| FRANK D MCALPINE, ESQ. ATTORNEY | Legal Service code 29 | 610 UNIVERSITY DRIVE EAST LANSING, MI 48823 | $15K |
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 | 674 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 311 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 985 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 879 | $32K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 713 | $955K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 879 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 879 | — |
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.