| 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 | $13K | — | $13K | 3.50% |
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38233 MOUND ROAD BLDG F STERLING HEIGHTS, MI 48310 | BLUE CARE NETWORK OF MICHIGAN | $2K | — | $2K | 3.83% |
| KEVIN E. COUNIHAN3 | 60 SEAGATE DRIVE 1406 NAPLES, FL 34103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 11.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Direct payment from the plan; Other fees; Contract Administrator; Claims processing; Float revenue; Insurance services; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $445K |
| TIC INTERNATIONAL EIN 13-2600875 NONE | Accounting (including auditing); Contract Administrator; Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $114K |
| MICHAEL G. BUCK NONE | Other commissions; Non-monetary compensation; Insurance agents and brokers; Insurance brokerage commissions and fees; Other fees Service code 22 | 38233 MOUND ROAD BLDG F STERLING HEIGHTS, MI 48310 | $45K |
| STEFANSKY, HOLLOWAY, NICHOLS, INC. EIN 38-2388845 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $23K |
| SACHS WALDMAN PROFESSIONAL CORP. EIN 38-1905521 ATTORNEY FOR LOCAL 514 | Legal; Direct payment from the plan Service code 29 | — | $17K |
| BENDA, GRACE, STULZ & COMPANY PC EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $16K |
| DETROIT CEMENT MASONS COLLECTIONS EIN 38-0407375 NONE | Legal; Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $14K |
| TRADE SOLUTIONS NONE | Direct payment from the plan; Copying and duplicating; Participant communication Service code 36 | PO BOX 1318 CLARKSTON, MI 48347 | $6K |
| MARQUETTE & ASSOCIATES EIN 36-3485298 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $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 | 570 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 575 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CARE NETWORK OF MICHIGAN | 5 | $46K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 548 | $12K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 5 | $46K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 562 | $363K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 548 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 562 | — |
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.