| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CARE NETWORK OF MICHIGAN | $27K | — | $27K | 3.72% |
| 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 | $14K | — | $14K | 4.14% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $470 | $470 | 0.14% |
| ACRISURE LLC3 | JAMES ALTON 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $3K | — | $3K | 4.18% |
| ACRISURE LLC3 | JAMES ALTON 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $564 | — | $564 | 0.75% |
| 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% |
| 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 | 8.77% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $990 | $990 | 5.00% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 31.07% |
| GREGORY SCOTT DAENZER3 | 5535 FOXHILL LANE PERRY, MI 48872 | CONTINENTAL AMERICAN INSURANCE COMPANY | $57 | — | $57 | 0.44% |
| ACRISURE LLC3 | JAMES ALTON 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $877 | — | $877 | 8.37% |
| ACRISURE LLC3 | JAMES ALTON 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $171 | — | $171 | 1.63% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 20.01% |
| CENTRO BENEFITS RESEARCH LLC2 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $345 | $345 | 5.01% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $597 | — | $597 | 14.99% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $199 | $199 | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $164 | — | $164 | 11.01% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD SUITE 300 KIRKWOOD, MO 63122 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $75 | $75 | 5.03% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE CAMPBELL GROUP | 5665 PRAIRIE CREEK DR CALEDONIA, MI 49316 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $214 | — | $214 | 14.99% |
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 | 179 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 120 | $1.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 182 | $75K |
| Vision | DELTA DENTAL OF MICHIGAN | 150 | $10K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 88 | $21K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 45 | $21K |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 40 | $11K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 120 | $1.1M |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 126 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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.