| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | — | $6K | 0.18% |
| JEFFERY SCHULTZ3 | 16805 W. CLEVELAND AVENUE NEW BERLIN, WI 53151 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $39K | — | $39K | 2.96% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $2K | $2K | 0.15% |
| JEFFERY SCHULTZ3 | 16805 W. CLEVELAND AVENUE NEW BERLIN, WI 53151 | BLUE CARE NETWORK OF MICHIGAN | $18K | — | $18K | 2.97% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | — | $978 | $978 | 0.16% |
| ACRISURE LLC3 | PO BOX 510187 NEW BERLIN, WI 53151 | UNITEDHEALTHCARE INSURANCE COMPANY | $33K | — | $33K | 8.89% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 16805 W. CLEVELAND AVE NEW BERLIN, WI 53151 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 13.17% |
| SHANNON A LADING3 | 738 W. FOURTH STREET APPLETON, WI 54914 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 11.06% |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL DESPIRITO | N 2892 HILLCREST DR HORTONVILLE, WI 54944 | CONTINENTAL AMERICAN INSURANCE COMPANY | $572 | — | $572 | 1.21% |
| JAMIE R LAUENSTEIN3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.03% |
| RANDA R ELLWANGER3 | 3136 HILMGREN WAY GREEN BAY, WI 54304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| ADAM WICHMANN3 | 4362 N BULL RUSH DR APPLETON, WI 54913 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| CARRI POOL3 | 1609 COMMERCE DR NORTH MANKATO, MN 56003 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA HNI RISK SERVICES | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | AETNA INTERNATIONAL | $2K | — | $2K | 15.00% |
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 | 577 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 580 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 893 | $5.0M |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 577 | $376K |
| Short-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 577 | $376K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 577 | $376K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 253 | $1.9M |
| Other(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 577 | $435K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 893 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.