| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL C WALKER3 Filed as: MICHAEL G. BUCK | 38223 MOUND RD, BUILDING F STERLING HEIGHTS, MI 483103466 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $54K | — | $54K | 3.01% |
| 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; Claims processing Service code 12 | — | $742K |
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Contract Administrator; Claims processing; Participant communication; Recordkeeping fees; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing) Service code 10 | — | $233K |
| BENEFITS PARTNER LLC EIN 20-2024076 NONE | Insurance agents and brokers; Consulting (general); Insurance brokerage commissions and fees Service code 16 | — | $63K |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $58K |
| FERGUSON WIDMAYER & CLARK PC EIN 38-2995783 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| BENNETT & ASSOCIATES CPAS PLLC EIN 27-3488128 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| O'SULLIVAN ASSOCIATES, INC. EIN 20-8199367 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $29K |
| WEX HEALTH, INC. EIN 06-1593514 NONE | Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $24K |
| COMERICA EIN 42-1741646 NONE | Direct payment from the plan; Custodial (securities); Custodial (other than securities) Service code 18 | — | $20K |
| DAVIS VISION, INC. EIN 11-3051991 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 288 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 89 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 377 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 538 | $1.8M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 538 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 538 | — |
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.