| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE JAMES B OSWALD COMPANY3 | 1100 SUPERIOR AVE E STE 1500 CLEVELAND, OH 441142544 | METROPOLITAN LIFE INSURANCE COMPANY | $70K | $6K | $76K | 10.24% |
| THE JAMES B OSWALD COMPANY3 | 1100 SUPERIOR AVE E STE 1500 CLEVELAND, OH 441142544 | MEDICAL MUTUAL SERVICES | $47K | $16K | $63K | 8.83% |
| THE JAMES B OSWALD COMPANY3 | 1100 SUPERIOR AVE E STE 1500 CLEVELAND, OH 441142544 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $10K | $26K | $36K | 13.13% |
| THE JAMES B OSWALD COMPANY3 | 1100 SUPERIOR AVE E STE 1500 CLEVELAND, OH 441142544 | VISION SERVICE PLAN | $2K | — | $2K | 2.90% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Consulting (general); Other fees; Float revenue; Insurance services; Claims processing; Non-monetary compensation; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan Service code 12 | 86 MONROE CENTER NW GRAND RAPIDS, MI 49503 | $167K |
| STEVEN J BALTAS | Insurance agents and brokers; Other fees; Other commissions; Non-monetary compensation; Insurance brokerage commissions and fees Service code 22 | 1100 SUPERIOR AVE STE 1500 CLEVELAND, OH 441142544 | $7K |
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 | 678 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 684 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | MEDICAL MUTUAL SERVICES | 558 | $988K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,383 | $741K |
| Vision | VISION SERVICE PLAN | 447 | $75K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,383 | $741K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,383 | $741K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,383 | $741K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,383 | $741K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,383 | — |
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.