| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES F. PICKFORD | PO BOX 189 JACKSON, MI 49204 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $12K | $2K | $14K | 0.91% |
| LORI J ZAJAC3 | PO BOX 189 JACKSON, MI 49204 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $700 | — | $700 | 3.27% |
| JFP BENEFIT MANAGEMENT INC3 | 100 SOUTH JACKSON SUITE 200 JACKSON, MI 49204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 8.73% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Direct payment from the plan; Claims processing; Non-monetary compensation; Other fees; Insurance services; Contract Administrator; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | $119K |
| JFP BENEFITS MANAGEMENT, INC. EIN 38-2719340 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | — | $61K |
| FISHER SPIEGEL KUNKLE & GERBER PLLC EIN 38-2771156 AUDITOR | Accounting (including auditing) Service code 10 | 4625 BECKLEY ROAD BLDG 40 BATTLE CREEK, MI 49015 | $14K |
| SEBER TANS, PLC EIN 20-0503877 CERTIFIED PUBLIC ACCOUNT | Accounting (including auditing) Service code 10 | 555 W. CROSSTOWN PARKWAY KALAMAZOO, MI 49008 | $11K |
| TRAVELERS CASUALTY AND SURETY EIN 06-0907370 NONE | Insurance services Service code 23 | — | $10K |
| MCGINTY, HITCH, & ASSOCIATES EIN 38-2060103 ATTORNEY | Legal Service code 29 | — | $9K |
| ALERUS FINANCIAL, N.A. EIN 45-6062081 INVESTMENT BROKER | Trustee (directed); Trustee (bank, trust company, or similar financial institution); Investment advisory (plan); Investment management fees paid directly by plan; Investment management Service code 21 | — | $9K |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 131 | $1.5M |
| Dental | BLUE CROSS BLUE SHIELD OF MICHIGAN | 131 | $1.5M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 121 | $20K |
| Prescription drug(2 contracts) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 131 | $1.5M |
| Other | BLUE CROSS BLUE SHIELD OF MICHIGAN | 131 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.