| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CARE NETWORK OF MICHIGAN | $21K | — | $21K | 3.03% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49504 | BLUE CARE NETWORK OF MICHIGAN | — | $1K | $1K | 0.16% |
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $9K | — | $9K | 3.18% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $483 | $483 | 0.17% |
| ACRISURE LLC3 | JAMES ALTON 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $3K | — | $3K | 4.74% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 15.07% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 5.02% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 8.73% |
| 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 | $7K | — | $7K | 44.15% |
| GREGORY SCOTT DAENZER3 | 5535 FOXHILL LANE PERRY, MI 48872 | CONTINENTAL AMERICAN INSURANCE COMPANY | $132 | — | $132 | 0.83% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | VISION SERVICE PLAN | $943 | — | $943 | 9.17% |
| 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 LLC2 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $395 | $395 | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $570 | — | $570 | 15.00% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $190 | $190 | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $160 | — | $160 | 11.02% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $73 | $73 | 5.03% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5665 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $197 | — | $197 | 15.03% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 127 | $992K |
| Dental | DELTA DENTAL OF MICHIGAN | 174 | $69K |
| Vision | VISION SERVICE PLAN | 154 | $10K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 74 | $22K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 43 | $21K |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 43 | $12K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 127 | $992K |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 108 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 174 | — |
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.