| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | BLUECROSS BLUESHIELD OF ILLINOIS | $169K | $13K | $182K | 1.99% |
| KELLY BRADY3 | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | WPS HEALTH PLAN INC | $33K | — | $33K | 2.46% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | DEARBORN LIFE INSURANCE COMPANY | $50K | $20K | $70K | 8.70% |
| ALTON, JAMES3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | PRIORITY HEALTH INSURANCE COMPANY | $13K | — | $13K | 1.81% |
| ALTON, JAMES3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | PRIORITY HEALTH | $15K | — | $15K | 2.20% |
| TAGGART, BRYAN3 | 13900 S WEST BAY SHORE DRIVE TRAVERSE CITY, MI 49684 | PRIORITY HEALTH | $1K | — | $1K | 0.21% |
| KELLY BRADY3 | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION | $7K | — | $7K | 1.69% |
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 | 784 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 784 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 2,054 | $12.3M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 2,054 | $9.2M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 485 | $807K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 485 | $807K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 485 | $807K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 485 | $807K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,054 | — |
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.