| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC | PO BOX 1788 GRAND RAPIDS, MI 49501 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $6K | $16K | 5.01% |
| ACRISURE LLC | PO BOX 1788 GRAND RAPIDS, MI 49501 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $1K | $10K | 16.90% |
| ACRISURE LLC | PO BOX 1788 GRAND RAPIDS, MI 49501 | EYEMED | $3K | $0 | $3K | 9.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ACRISURE LLC AGENT/AGENCY | Insurance agents and brokers Service code 22 | 500 N WATER ST STE 900 CORPUS CHRISTI, TX 78401 | $9K |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 BENEFIT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $9K |
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 | 189 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED | 493 | $27K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 267 | $328K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 267 | $328K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 267 | $388K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 493 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.