| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASSIE GOODBAND3 | 444 W MICHIGAN AVENUE KALAMAZOO, MI 49316 | BLUE CARE NETWORK OF MICHIGAN | $47K | — | $47K | 2.96% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | — | $2K | $2K | 0.11% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | PRINCIPAL LIFE INSURANCE COMPANY | $14K | — | $14K | 8.81% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | — | $875 | $875 | 0.54% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | CASSIE GOODBAND 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $7K | — | $7K | 4.38% |
| ACRISURE LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 32.63% |
| AMBER DASHKOVITZ3 Filed as: AMBER D DASHKOVITZ | 1901 N FAIRVIEW AVE LANSING, MI 48912 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 18.13% |
| RONALD A DASHKOVITZ3 | 1901 N FAIRVIEW LANSING, MI 48912 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 5.02% |
| SEAN NASTASE3 | 108 RESIDENCES LANE UNIT 103 CHARLESTON, SC 29414 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 4.73% |
| JIM M BULLOCK3 | 3715 POWDERHORN DR OKEMOS, MI 48864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 0.27% |
| PATRICK FULLER3 Filed as: PATRICK L FULLER | 6381 ISLAND LAKE DRIVE EAST LANSING, MI 48823 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.10% |
| JULIE SLAUGHTER3 Filed as: JULIE SLAUGHER | 430 BOARDWALK WALLED LAKE, MI 48390 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.04% |
| AG AND ASSOCIATES3 | 2150 ASSOCIATION DRIVE SUITE 150 OKEMOS, MI 48864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.02% |
| JULIE SLAUGHTER3 | 430 BOARDWALK WALLED LAKE, MI 48390 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| HEATHER A DOLLIVER3 | 212 W SILVER LK FENTON, MI 48430 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JEFFREY C WERNER3 | 18096 TRUDY DR SPRING LAKE, MI 49456 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ACRISURE LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | VISION SERVICE PLAN | $1K | — | $1K | 5.09% |
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 | 175 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CARE NETWORK OF MICHIGAN | 305 | $1.6M |
| Dental | DELTA DENTAL OF MICHIGAN | 305 | $158K |
| Vision | VISION SERVICE PLAN | 136 | $24K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 336 | $162K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 336 | $162K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 336 | $162K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 305 | $1.6M |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 2 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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.