| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CARE NETWORK OF MICHIGAN | $33K | — | $33K | 3.13% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49504 | BLUE CARE NETWORK OF MICHIGAN | — | $1K | $1K | 0.11% |
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $5K | — | $5K | 2.98% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $703 | $703 | 0.42% |
| ACRISURE LLC3 Filed as: ACRISURE GREAT LAKES PARTNERS INS. | JAMES ALTON 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 2.78% |
| ACRISURE LLC3 | JAMES ALTON 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $2K | $159 | $2K | 2.16% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 8.47% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 17.68% |
| GREGORY SCOTT DAENZER3 | 5535 FOXHILL LANE PERRY, MI 48872 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.31% |
| ACRISURE LLC3 Filed as: ACRISURE GREAT LAKES PARTNERS INS | JAMES ALTON 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY | $683 | — | $683 | 5.83% |
| ACRISURE LLC3 | JAMES ALTON 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY | $471 | — | $471 | 4.02% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $411 | $411 | 4.99% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $607 | — | $607 | 15.00% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $202 | $202 | 4.99% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5665 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $229 | — | $229 | 14.98% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $159 | — | $159 | 10.99% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $72 | $72 | 4.98% |
No Schedule C service providers reported on this filing.
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 | 104 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 155 | $1.2M |
| Dental | DELTA DENTAL OF MICHIGAN | 196 | $77K |
| Vision | RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY | 168 | $12K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 87 | $23K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 53 | $28K |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 43 | $12K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 155 | $1.2M |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 87 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.