| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JUSTIN W SPEWOCK3 | 30150 TELEGRAPH ROAD SUITE 408 BINGHAM FARMS, FL 48025 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $35K | — | $35K | 3.50% |
| JUSTIN W SPEWOCK3 | 30150 TELEGRAPH ROAD SUITE 408 BINGHAM FARMS, MI 48025 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $2K | — | $2K | 2.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2600 TELEGRAPH RD SUITE 100 BLOOMFIELD HILLS, MI 48302 | LIFE INSURANCE COMPANIES OF NORTH AMERICA | — | $574 | $574 | 1.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE | 30150 TELEGRAPH STE 408 BINGHAM FARMS, MI 48025 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 30150 TELEGRAPH RD SUITE 408 BINGHAM FARMS, MI 48025 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $39 | $39 | 1.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CARE NETWORK EIN 38-2359234 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $1.4M |
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance services; Claims processing; Direct payment from the plan; Float revenue; Other fees; Contract Administrator; Consulting (general) Service code 12 | — | $32K |
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 | 483 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 483 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 503 | $998K |
| Dental | BLUE CROSS BLUE SHIELD OF MICHIGAN | 445 | $92K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 445 | $92K |
| Life insurance | LIFE INSURANCE COMPANIES OF NORTH AMERICA | 609 | $45K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 485 | $12K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 503 | $998K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 503 | $998K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 483 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 609 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.