| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT S. VANDERVEEN3 | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $31K | — | $31K | 2.01% |
| PAUL MELI3 | 50787 CORPORATE DRIVE SHELBY TWP, MI 48315 | BLUE CARE NETWORK OF MICHIGAN | $14K | — | $14K | 0.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L MIDWST LTD AUDREY MCNALLY | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $11K | — | $11K | 0.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $2K | — | $2K | 0.14% |
| ROBERT S. VANDERVEEN3 | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $9K | — | $9K | 1.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: AUDREY MCNALLY - HUB INT'L MIDWEST | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | — | $8K | 0.99% |
| PAUL MELI3 | 50787 CORPORATE DRIVE SHELBY TOWNSHIP, MI 48315 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $6K | — | $6K | 0.78% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $1K | — | $1K | 0.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | DELTA DENTAL OF MICHIGAN | $6K | — | $6K | 4.26% |
| INSGROUP INC3 Filed as: CORE INSURANCE GROUP, LLC-PAUL MELI | 50787 CORPORATE DRIVE SHELBY TOWNSHIP, MI 48315 | DELTA DENTAL OF MICHIGAN | $1K | — | $1K | 0.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD., FL 14 CHICAGO, IL 60604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 15.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1591 GALBRAITH AVE SE GRAND RAPIDS, MI 49546 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 10.24% |
| CORE INSURANCE GROUP3 Filed as: CORE INSURANCE GROUP LLC | 50787 CORPORATE DRIVE SHELBY TWP, MI 48315 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $862 | — | $862 | 1.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 2167 GRAND RAPIDS, MI 49501 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | — | $2K | 9.12% |
| MICHIGAN CHAMBER SERVICES, INC.3 Filed as: MICHIGAN CHAMBER SERVICES | 600 SOUTH WALNUT STREET LANSING, MI 48933 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | — | $1K | 4.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BLVD, FL 14 CHICAGO, IL 60604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 13.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1591 GALBRAITH AVENUE SOUTHEAST GRAND RAPIDS, MI 49546 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 9.63% |
| CORE INSURANCE GROUP3 Filed as: CORE INSURANCE GROUP LLC | 50787 CORPORATE DRIVE SHELBY TWP, MI 48315 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $367 | — | $367 | 1.60% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD., FL 14 CHICAGO, IL 60604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 8.90% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1591 GALBRAITH AVE SE GRAND RAPIDS, MI 49546 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 8.78% |
| CORE INSURANCE GROUP3 Filed as: CORE INSURANCE GROUP LLC | 50787 CORPORATE DRIVE SHELBY TWP, MI 48315 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $248 | — | $248 | 1.10% |
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 | 360 | 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) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 399 | $2.4M |
| Dental | DELTA DENTAL OF MICHIGAN | 503 | $149K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 0 | $25K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 360 | $71K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 307 | $23K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 399 | $2.4M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 360 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 503 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.