| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRICK DALTON3 | 3055 44TH ST SW PO BOX 953 GRANDVILLE, MI 49418 | PRIORITY HEALTH | $63K | — | $63K | 3.95% |
| JOANNE DUTHLER3 | 3055 44TH ST SW PO BOX 953 GRANDVILLE, MI 49418 | PRIORITY HEALTH | $382 | — | $382 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT | PO BOX 953 GRANDVILLE, MI 49468 | DELTA DENTAL OF MICHIGAN | $7K | — | $7K | 5.13% |
| PATRICK DALTON3 | 3055 44TH ST SW PO BOX 953 GRANDVILLE, MI 49418 | PRIORITY HEALTH | $5K | — | $5K | 3.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT | 3055 44TH ST SW GRANDVILLE, MI 49418 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 6.20% |
| CORPORATE BENEFIT STRATEGIES, INC.3 Filed as: CORPORATE BENEFIT STRATEGIES | 5001 PLAINFIELD AVE NE, STE A GRAND RAPIDS, MI 49525 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $909 | $909 | 2.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT | 3055 44TH ST SW GRANDVILLE, MI 49418 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 7.19% |
| CORPORATE BENEFIT STRATEGIES, INC.3 Filed as: CORPORATE BENEFIT STRATEGIES | 5001 PLAINFIELD AVE NE, STE A GRAND RAPIDS, MI 49525 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $736 | $736 | 2.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT | PO BOX 953 GRANDVILLE, MI 49468 | VISION SERVICE PLAN | $1K | — | $1K | 4.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INS AGENCY | 3055 44TH ST SW GRANDVILLE, MI 49418 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 14.39% |
| CORPORATE BENEFIT STRATEGIES, INC.3 Filed as: CORPORATE BENEFIT STRATEGIES, INC | 5001 PLAINFIELD AVE NE STE A GRAND RAPIDS, MI 49525 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $341 | $341 | 2.00% |
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 | 201 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 201 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | PRIORITY HEALTH | 352 | $1.7M |
| Dental | DELTA DENTAL OF MICHIGAN | 430 | $137K |
| Vision | VISION SERVICE PLAN | 108 | $28K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 201 | $45K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 202 | $37K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 77 | $17K |
| Other | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 201 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 430 | — |
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.