| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASR HEALTH BENEFITS5 | 618 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | ARDELLIS | $172K | — | $172K | 17.97% |
| STRATEGIES BENEFIT GROUP LLC3 Filed as: STRATEGIES BENEFIT GROUP, LLC | 5075 CASCADE RD SE GRAND RAPIDS, MI 495463700 | AMERITAS LIFE INSURANCE CORP | $46K | — | $46K | 8.65% |
| STRATEGIES BENEFIT GROUP LLC3 | 5075 CASCADE RD SE STE M GRAND RAPIDS, MI 49546 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $30K | — | $30K | 8.25% |
| JOHN B. WEESIE3 | 5075 CASCADE RD SE STE M GRAND RAPIDS, MI 49546 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 1.75% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINISTRATOR | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 1.00% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BCBS-HA GROUP | — | BLUE CROSS BLUE SHIELD OF ILLINOIS | $11K | — | $11K | 2.95% |
| STRATEGIES BENEFIT GROUP LLC3 | — | BLUE CROSS BLUE SHIELD OF ILLINOIS | $2K | — | $2K | 0.54% |
| ASR HEALTH BENEFITS3 | 618 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | HCC LIFE INSURANCE COMPANY | $13K | — | $13K | 10.00% |
| JOHN B. WEESIE3 | 5075 CASCADE RD SE STE M GRAND RAPIDS, MI 49546 | UNUM INSURANCE COMPANY | $2K | — | $2K | 7.64% |
| JOHN B. WEESIE3 | 5075 CASCADE RD SE STE M GRAND RAPIDS, MI 49546 | UNUM INSURANCE COMPANY | $4K | — | $4K | 13.63% |
| JOHN B. WEESIE3 | 5075 CASCADE RD SE STE M GRAND RAPIDS, MI 49546 | UNUM INSURANCE COMPANY | $453 | — | $453 | 2.08% |
| LAURA ANN MARSHALL3 Filed as: LAURA ANN MCGINNIS | 8232 ECKERT RD CONCORD, MI 49237 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $55 | — | $55 | 1.18% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | — | $40 | 0.85% |
| MARY LOU TAYLOR3 | 11176 WILLMINGTON BLVD ENGLEWOOD, FL 34224 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | — | $36 | 0.77% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASR HEALTH BENEFITS EIN 38-2651185 THIRD-PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $596K |
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 | 1,547 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,547 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ILLINOIS | 44 | $363K |
| Dental | AMERITAS LIFE INSURANCE CORP | 1,601 | $532K |
| Vision | AMERITAS LIFE INSURANCE CORP | 1,601 | $532K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,547 | $370K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 9 | $5K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,547 | $365K |
| Other(7 contracts, 5 carriers) | ARDELLIS | 1,547 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,601 | — |
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.