| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | — | BLUE CROSS BLUE SHIELD OF MICHIGAN | $18K | — | $18K | 3.08% |
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38223 MOUND ROAD BUILDING F STERLING HEIGHTS, MI 48310 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $22K | $9K | $31K | 13.37% |
| MACQUEEN & ASSOCIATES LLC3 Filed as: MACQUEEN& ASSOCIATES LLC | — | THE UNION LABOR LIFE INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | — | BLUE CARE NETWORK OF MICHIGAN | $336 | — | $336 | 3.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Direct payment from the plan; Other fees; Insurance services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Contract Administrator; Non-monetary compensation; Claims processing Service code 12 | — | $458K |
| TIC INTERNATIONAL EIN 13-2600875 NONE | Other fees; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Plan Administrator; Accounting (including auditing); Other services; Copying and duplicating; Claims processing Service code 10 | — | $76K |
| HEALTH PLAN ADVOCATE NONE | Other services; Direct payment from the plan; Participant communication Service code 38 | 5380 CASCADE ROAD S/E GRAND RAPIDS, MI 49546 | $57K |
| ASHER KELLY NONE | Legal; Direct payment from the plan Service code 29 | 25800 NORTHWESTERN HWT. SUITE #1000 SOUTHFIELD, MI 48075 | $30K |
| STRATEGIC CAPITAL ADVISORS EIN 36-4268991 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $17K |
| UNITED ACTUARIAL SERVICES EIN 38-2156428 NONE | Other fees; Actuarial; Direct payment from the plan Service code 11 | — | $12K |
| WRUBEL WESLEY AND COMPANY C.P.A.'S EIN 38-2574238 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $11K |
| FIFTH THIRD BANK NONE | Other fees; Copying and duplicating; Other services; Direct payment from the plan Service code 36 | P.O.BOX 630900 CINCINNATI, OH 452630900 | $5K |
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 | 460 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 136 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 596 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 167 | $595K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 546 | $69K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 167 | $595K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,271 | $230K |
| Other(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 546 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,271 | — |
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.