| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOSEPH A KING3 | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | BLUE CROSS BLUE SHIELD OF MICHIGAN, | $7K | $464 | $7K | 3.37% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN, | $8K | — | $8K | 3.98% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | EMPLOYEE HEALTH INSURANCE MANAGEMENT, INC, | $900 | $3K | $4K | 3.21% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | DELTA DENTAL OF MICHIGAN, | $4K | — | $4K | 4.31% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | BLUE CARE NETWORK OF MICHIGAN, | $4K | — | $4K | 3.96% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | RELIANCE STANDARD, | $4K | — | $4K | 10.65% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | RELIANCE STANDARD, | $2K | — | $2K | 7.76% |
| THOMAS DANIEL SCHMIDT3 | 21608 PINE CONE DR MACOMB, MI 48042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, | $2K | $952 | $3K | 12.96% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, | $2K | — | $2K | 8.62% |
| DIANNA LYNN ATCHISON3 | 15130 SNOWBERRY CT SPRING LAKE, MI 49456 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, | $509 | $63 | $572 | 2.66% |
| TIMBERLAND GROUP SERVICES, INC.3 Filed as: TIMBERLAND GROUP SERVICES | 1707 W. BIG BEAVER ROAD TROY, MI 48084 | EYE MED, | $1K | — | $1K | 8.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Other fees; Float revenue; Claims processing; Contract Administrator; Insurance services; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 12 | — | $74K |
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 | 122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN, | 82 | $500K |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN, | 289 | $315K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN, | 270 | $229K |
| Life insurance | RELIANCE STANDARD, | 107 | $27K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, | 11 | $22K |
| Long-term disability | RELIANCE STANDARD, | 107 | $35K |
| Prescription drug(4 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN, | 88 | $633K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN, | 82 | $213K |
| Other | RELIANCE STANDARD, | 107 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 289 | — |
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.