| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38233 MOUND ROAD, BLDG F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $12K | $2K | $14K | 4.12% |
| VINCENT J. ROSE3 Filed as: VINCENT ROSE | 620 S LAKE STREET MARQUETTE, MI 49855 | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | $3K | — | $3K | 1.66% |
| MICHAEL BUCK3 | 38233 MOUND ROAD, BLDG F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | $1K | — | $1K | 0.76% |
| BENEFIT PTNRS LLC DBA SALUS GROUP3 | 38233 MOUND ROAD, BUILDING F STERLING HEIGHTS, MI 48310 | DELTA DENTAL OF MICHIGAN | $3K | $184 | $3K | 2.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Contract Administrator; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Insurance services; Direct payment from the plan; Other fees; Claims processing Service code 12 | — | $204K |
| NOVARA TESIJA, PLLC EIN 38-2823147 NONE | Legal; Direct payment from the plan Service code 29 | — | $137K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Consulting (general); Participant communication; Claims processing; Plan Administrator; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Direct payment from the plan Service code 10 | — | $74K |
| ZENITH AMERICAN NONE | Participant communication; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Plan Administrator; Consulting (general); Claims processing; Direct payment from the plan Service code 10 | — | $69K |
| MICHAEL G. BUCK NONE | Other fees; Non-monetary compensation; Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | 38233 MOUND ROAD BLDG F STERLING HEIGHTS, MI 48310 | $31K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $16K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $13K |
| US BANK NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $9K |
| MARQUETTE ASSOCIATES EIN 36-3485298 NONE | Direct payment from the plan; Investment management Service code 28 | — | $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 | 227 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 46 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 273 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 33 | $167K |
| Dental | DELTA DENTAL OF MICHIGAN | 644 | $100K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 33 | $167K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 248 | $346K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 644 | — |
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.