| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEATHER A MOSHER3 | 300 S FRONT STREET MARQUETTE, MI 49855 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $42K | — | $42K | 4.07% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $831 | $831 | 0.08% |
| HEATHER A MOSHER3 | 300 S FRONT STREET MARQUETTE, MI 49855 | BLUE CARE NETWORK OF MICHIGAN | $8K | — | $8K | 4.44% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | — | $254 | $254 | 0.15% |
| ACRISURE LLC3 Filed as: ACRISURE GREAT LAKES PARTNERS INS | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $4K | — | $4K | 4.36% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | HARTFORD LIFE AND ACCIDENT | $9K | $534 | $10K | 11.62% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INSURANCE | SERVICES WEST 111 EAST KILBOURN AVE MILWAUKEE, WI 53202 | HARTFORD LIFE AND ACCIDENT | $1 | — | $1 | 0.00% |
| ACRISURE LLC3 | DBA VAST MARQUETTE, MI 49855 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $7K | $18K | 31.50% |
| ACRIALPS LLC3 | C/O ACRIALPS GRAND RAPIDS, MI 49501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $3K | $12K | 22.10% |
| CHRISTINA STAHL3 | 9621 CANYON MESA DR LAS VEGAS, NV 89144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $670 | $2K | 3.15% |
| GEORGE MICHAEL SORRENTINO3 | 3055 RED SPRINGS DR LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $670 | $2K | 3.15% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELISSA MARSH | 25216 FINDLEY RD STURGIS, MI 49091 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $699 | $994 | $2K | 3.01% |
| BRIGATA LLC3 | 18 OLD APPLEWOOD LN HENDERSONVILLE, NC 28739 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $415 | $2K | 2.89% |
| CHRISTINE MARIE MCKINNIS3 | 832 BIG VALLEY RD GARDNERVILLE, NV 89410 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $10 | $1K | 2.38% |
| CHELSEA L WARE LLC3 Filed as: CHELSEA L WARE INC | 11425 PERUGINO DR. LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.95% |
| DONALD A LAWRENCE3 | 24835 PICNIC LANE WILDOMAR, CA 92595 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $848 | — | $848 | 1.51% |
| JENNIFER JEAN MOYA3 | 24548 VIA LAS LADERAS MURRIETA, CA 92562 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $697 | $31 | $728 | 1.29% |
| MEGAN WILSON3 | 7534 SLIPPER ORCHID ST LAS VEGAS, NV 89148 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $610 | $37 | $647 | 1.15% |
| KIM REED SMITH3 Filed as: KIM R TERRELL | 1644 STUBBS VINSON RD MONROE, LA 71203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $505 | $37 | $542 | 0.96% |
| SHAWNEENA MERCADO OVERLY3 | 3956 PARKERS FRY FORT MILL, SC 29715 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $416 | $81 | $497 | 0.88% |
| ROBERT P CLARK3 | 9645 BAYMEADOWS RD APT 722 JACKSONVILLE, FL 32256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $490 | $2 | $492 | 0.88% |
| ROGER STUART KENCHEL3 | 2588 EL CAMINO REAL STE F 188 CARLSBAD, CA 92008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $259 | $107 | $366 | 0.65% |
| ASSUREDPARTNERS3 Filed as: JENNIFER RENEE BLAIR | 3949 CARLA ANN RD NORTH LAS VEGAS, NV 89081 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $316 | $46 | $362 | 0.64% |
| ANTHONY SCOTT HARRELL3 | 1452 W HORIZON RIDGE PKWY HENDERSON, NV 89012 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $245 | $93 | $338 | 0.60% |
| CHERYL LYNN GAONA3 | 11912 KILLIAN ST EL MONTE, CA 91732 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $277 | $28 | $305 | 0.54% |
| VIP INSURANCE INC3 | 18 STONEMARK DR HENDERSON, NV 89052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $212 | $42 | $254 | 0.45% |
| THE CAPITAL GROUP LLC3 Filed as: CAPITAL FINANCIAL STRATEGIES INC | 7008 SALEM AVENUE SUITE 106 LUBBOCK, TX 79424 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $230 | $19 | $249 | 0.44% |
| MICHELLE LISA FREDRICKSON3 | 9456 VICTORY GARDEN AVE LAS VEGAS, NV 89149 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $230 | $19 | $249 | 0.44% |
| ERIC BROGAN3 Filed as: ERIC L MILLER | 8720 ELBE TRL FORT WORTH, TX 76118 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $240 | $2 | $242 | 0.43% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK MICHAEL SORRENTINO | 9110 W TROPICANA AVE LAS VEGAS, NV 89147 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $207 | $20 | $227 | 0.40% |
| CHARLES JOSEPH RINZLER3 | 924B NW 52ND STREET SEATTLE, WA 98107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $179 | $15 | $194 | 0.35% |
| RYAN WARE3 | 11632 REGAL ROCK PL LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $131 | — | $131 | 0.23% |
| ANNALIESE CLARK3 | 1336 HIDEAWAY DR S SAINT JOHNS, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.04% |
| GRUBBS INSURANCE3 | 525 TAYLOR RD MONTICELLO, FL 32344 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.03% |
| ANTONIA DAVILA3 Filed as: ANTONIA MARIA HOLDEN | 8932 CREEKFORD DR LAKESIDE, CA 92040 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $2 | $13 | 0.02% |
| BARBARA ANN BASTON3 | 5401 MANSEL LN FT WORTH, TX 76134 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.02% |
| JOEY MIGUES3 Filed as: JOEY GRUBBS BENEFITS LLC | 525 TAYLOR RD MONTICELLO, FL 32259 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| ALEXANDRA DIANE SORRENTINO3 | 3055 RED SPRINGS DR LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| ACRISURE LLC3 | DBA VAST MARQUETTE, MI 49855 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $3K | $8K | 31.45% |
| ACRIALPS LLC3 | C/O ACRIALPS GRAND RAPIDS, MI 49501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $1K | $5K | 20.68% |
| JENNIFER JEAN MOYA3 | 24548 VIA LAS LADERAS MURRIETA, CA 92562 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $55 | $1K | 4.77% |
| DAWN RENEE MORGAN3 | 6413 DUNMOOR DR PLANO, TX 75093 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $869 | $93 | $962 | 3.62% |
| CHRISTINA STAHL3 | 9621 CANYON MESA DR LAS VEGAS, NV 89144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $517 | $315 | $832 | 3.13% |
| GEORGE MICHAEL SORRENTINO3 | 3055 RED SPRINGS DR LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $517 | $315 | $832 | 3.13% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELISSA MARSH | 25216 FINDLEY RD STURGIS, MI 49091 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $331 | $471 | $802 | 3.02% |
| KIM REED SMITH3 Filed as: KIM R TERRELL | 1644 STUBBS VINSON RD MONROE, LA 71203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $626 | $46 | $672 | 2.53% |
| JENNIFER RENESS BLAIR3 | 3949 CARLA ANN RD NORTH LAS VEGAS, NV 89081 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $474 | $69 | $543 | 2.05% |
| CHELSEA L WARE LLC3 Filed as: CHELSEA L WARE INC | 11425 PERUGINO DR. LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $517 | — | $517 | 1.95% |
| MADISEN LYNN GERZ3 | 3534 GWYNELLE CT SPARKS, NV 89431 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $181 | $24 | $205 | 0.77% |
| MICHELLE LISA FREDRICKSON3 | 9456 VICTORY GARDEN AVE LAS VEGAS, NV 89149 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $165 | $14 | $179 | 0.67% |
| MEGAN WILSON3 | 7534 SLIPPER ORCHID ST LAS VEGAS, NV 89148 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $103 | $6 | $109 | 0.41% |
| CHRISTINE MARIE MCKINNIS3 | 832 BIG VALLEY RD GARDNERVILLE, NV 89410 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | $1 | $84 | 0.32% |
| JGBENEFITS CONSULTANTS3 | 12300 FORD RD STE 450 FARMERS BRANCH, TX 75234 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $73 | — | $73 | 0.28% |
| RYAN WARE3 | 11632 REGAL ROCK PL LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 0.23% |
| ERIC BROGAN3 Filed as: ERIC L MILLER | 8720 ELBE TRL FORT WORTH, TX 76118 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $59 | — | $59 | 0.22% |
| ALEXANDRA DIANE SORRENTINO3 | 3055 RED SPRINGS DR LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | $4 | $44 | 0.17% |
| VIP INSURANCE INC3 | 18 STONEMARK DR HENDERSON, NV 89052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | $7 | $44 | 0.17% |
| SHAWNEENA MERCADO OVERLY3 | 3958 PARKERS FRY FORT MILL, SC 29715 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $35 | $7 | $42 | 0.16% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK MICHAEL SORRENTINO | 9110 W TROPICANA AVE LAS VEGAS, NV 89147 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $1 | $15 | 0.06% |
| CHERYL LYNN GAONA3 | 11912 KILLIAN ST EL MONTE, CA 91732 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $1 | $7 | 0.03% |
| BARBARA ANN BASTON3 | 5401 MANSEL LN FT WORTH, TX 76134 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| THE CAPITAL GROUP LLC3 Filed as: CAPITAL FINANCIAL STRATEGIES INC | 7008 SALEM AVENUE SUITE 106 LUBBOCK, TX 79424 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| ACRISURE LLC3 Filed as: ACRISURE GREAT LAKES PARTNERS | INSURANCE SERVICES LLC 223 W GRAND RIVER AVE #1 HOWELL, MI 48843 | VISION SERVICE PLAN | $1K | — | $1K | 7.37% |
| ACRISURE LLC3 | 300 S FRONT ST MARQUETTE, MI 49855 | VISION SERVICE PLAN | $461 | — | $461 | 2.63% |
| ACRISURE LLC3 | DBA VAST MARQUETTE, MI 49855 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $5K | 41.50% |
| ACRIALPS LLC3 | C/O ACRIALPS GRAND RAPIDS, MI 49501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $344 | $2K | 14.73% |
| BRIGATA LLC3 | 18 OLD APPLEWOOD LN HENDERSONVILLE, NC 28739 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $330 | $113 | $443 | 3.93% |
| CHRISTINA STAHL3 | 9621 CANYON MESA DR LAS VEGAS, NV 89144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $212 | $129 | $341 | 3.02% |
| GEORGE MICHAEL SORRENTINO3 | 9110 W TROPICANA AVE LAS VEGAS, NV 89135 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $212 | $129 | $341 | 3.02% |
| ASSUREDPARTNERS3 Filed as: JENNIFER RENEE BLAIR | 3949 CARLA ANN RD NORTH LAS VEGAS, NV 89181 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $289 | $42 | $331 | 2.93% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELISSA MARSH | 25216 FINDLEY RD STURGIS, MI 49091 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $135 | $193 | $328 | 2.91% |
| ROGER STUART KENCHEL3 | 2588 EL CAMINO REAL STE F 188 CARLSBAD, CA 92008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $231 | $96 | $327 | 2.90% |
| MICHELLE LISA FREDRICKSON3 | 9456 VICTORY GARDEN AVE LAS VEGAS, NV 89149 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $227 | $19 | $246 | 2.18% |
| ANTHONY SCOTT HARRELL3 | 1452 W. HORIZO RIDGE PKWY HENDERSON, NV 89012 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $157 | $59 | $216 | 1.91% |
| CHELSEA L WARE LLC3 Filed as: CHELSEA L WARE INC | 11425 PERUGINO DR. LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $212 | — | $212 | 1.88% |
| KIM REED SMITH3 Filed as: KIM R TERRELL | 1644 STUBBS VINSON RD MONROE, LA 71203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $179 | $13 | $192 | 1.70% |
| DONALD A LAWRENCE3 | 24835 PICNIC LANE WILDOMAR, CA 92595 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $135 | — | $135 | 1.20% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK MICHAEL SORRENTINO | 9110 W TROPICANA AVE LAS VEGAS, NV 89147 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | $5 | $54 | 0.48% |
| RYAN WARE3 | 11632 REGAL ROCK PL LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.22% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC. | 93033 NETWORK PLACE CHICAGO, IL 60673 | METROPOLITAN GENERAL INSURANCE COMPANY | $459 | — | $459 | 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 | 265 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 88 | $1.2M |
| Dental | DELTA DENTAL OF MICHIGAN | 265 | $98K |
| Vision | VISION SERVICE PLAN | 123 | $18K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 261 | $86K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 261 | $86K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 88 | $1.2M |
| Other(5 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 261 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.