| 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 | 5.23% |
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $12K | — | $12K | 4.51% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $3K | — | $3K | 3.96% |
| ACRISURE LLC3 | JAMES ALTON 500 N WATER ST, STE 900 CORPUS CHRISTI, TX 78401 | DELTA DENTAL OF MICHIGAN | $590 | $125 | $715 | 1.06% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 9.51% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | VISION SERVICE PLAN | $739 | — | $739 | 7.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 19.99% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $613 | — | $613 | 15.01% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $184 | — | $184 | 11.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5665 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $178 | — | $178 | 15.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 770 KENMOOR AVE SE SUITE 300 GRAND RAPIDS, MI 49546 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | — | $0 | — |
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 | 147 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 112 | $882K |
| Dental | DELTA DENTAL OF MICHIGAN | 154 | $68K |
| Vision | VISION SERVICE PLAN | 95 | $11K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 74 | $17K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 27 | $4K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 112 | $882K |
| Other(5 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 115 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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.