| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | EMBLEMHEALTH | $176K | — | $176K | 4.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 495035087 | UNITEDHEALTHCARE INSURANCE COMPANY | $64K | — | $64K | 3.29% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | ZURICH AMERICAN INSURANCE COMPANY | $95K | — | $95K | 10.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | ZURICH AMERICAN INSURANCE COMPANY | $44K | — | $44K | 10.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | USABLE LIFE | $24K | — | $24K | 16.36% |
| HORIZON INSURANCE COMPANY3 | 3 PENN PLAZA EAST M2H NEWARK, NJ 07105 | USABLE LIFE | — | $8K | $8K | 5.45% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | SHELTERPOINT LIFE INSURANCE COMPANY | $3K | — | $3K | 2.51% |
| ACRISURE LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | SHELTERPOINT LIFE INSURANCE COMPANY | $3K | — | $3K | 5.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EMBLEM HEALTH EIN 13-1828429 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $882K |
| QUANTUM FINANCIAL STRATEGIES EIN 13-4017745 NONE | Consulting (general) Service code 16 | — | $180K |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Contract Administrator; Claims processing Service code 12 | — | $145K |
| UNITED HEALTHCARE INSURANCE COMPANY EIN 41-1321939 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $144K |
| WEAVER AND TIDWELL LLP EIN 75-0786316 PROV SVCS REL ORG | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $96K |
| FUIMAN MOGILA LLP EIN 93-1652658 PROV SVCS REL ORG | Legal; Direct payment from the plan Service code 29 | — | $78K |
| AMY SLYVCHAK EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $70K |
| CADARET GRANT EIN 22-2361254 | Investment management fees paid directly by plan; Investment management Service code 28 | 100 MADISON ST SYRACUSE, NY 13202 | $62K |
| KESTRA INVESTMENT SERVICES LLC EIN 74-2794194 | Investment management; Investment management fees paid directly by plan Service code 28 | — | $61K |
| GLADYS RODRIGUEZ EIN 11-1782177 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $60K |
| ILIANA OROZCO EIN 11-1782177 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $59K |
| DICKINSON GROUP, LLC EIN 20-1241472 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $35K |
| SUN LIFE CAPITAL MANAGEMENT(US) LLC EIN 68-0635051 NONE | Investment management fees paid directly by plan Service code 51 | — | $25K |
| LOOMIS SAYLES & COMPANY, L.P. EIN 04-3200030 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $9K |
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 | 1,573 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,573 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 176 | $1.9M |
| Life insurance | USABLE LIFE | 951 | $149K |
| Short-term disability(2 contracts) | SHELTERPOINT LIFE INSURANCE COMPANY | 451 | $155K |
| Stop-loss / reinsurancereinsurance(2 contracts) | ZURICH AMERICAN INSURANCE COMPANY | 1,172 | $1.4M |
| Other | USABLE LIFE | 951 | $149K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,172 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.