| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRICIA L CLINE3 | 444 W. MICHIGAN AVE KALAMAZOO, MI 49007 | BLUE CARE NETWORK OF MICHIGAN | $34K | — | $34K | 2.23% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA | KEYSER INSURANCE 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | BLUE CARE NETWORK OF MICHIGAN | — | $2K | $2K | 0.11% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | PATRICIA CLINE 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $7K | — | $7K | 4.38% |
| ACRISURE LLC3 | CASSIE GOODBAND 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $590 | — | $590 | 0.39% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | PRINCIPAL LIFE INSURANCE COMPANY | $13K | — | $13K | 9.94% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | — | $1K | $1K | 1.09% |
| ACRISURE LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | VISION SERVICE PLAN | $1K | — | $1K | 5.12% |
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 | 177 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CARE NETWORK OF MICHIGAN | 318 | $1.5M |
| Dental | DELTA DENTAL OF MICHIGAN | 309 | $153K |
| Vision | VISION SERVICE PLAN | 136 | $24K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 357 | $131K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 357 | $131K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 357 | $131K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 318 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 357 | — |
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.