| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS DANIEL SNOW JR3 | 300 S FRONT STREET MARQUETTE, MI 49855 | BLUE CARE NETWORK OF MICHIGAN | $20K | — | $20K | 4.59% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | — | $723 | $723 | 0.17% |
| THOMAS DANIEL SNOW JR3 | ACRISURE LLC DBA VAST 300 S FRONT ST MARQUETTE, MI 49855 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $6K | — | $6K | 4.25% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | — | $261 | $261 | 0.18% |
| ACRISURE LLC3 | 300 S FRONT ST MARQUETTE, MI 49855 | DELTA DENTAL OF MICHIGAN | $3K | $1K | $4K | 5.97% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | DELTA DENTAL OF MICHIGAN | — | $3K | $3K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA VAST | 300 S FRONT ST MARQUETTE, MI 49855 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $431 | $2K | 6.56% |
| JAN M WOLF3 | PO BOX 121 ISHPEMING, MI 49849 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA VAST | 300 S FRONT ST MARQUETTE, MI 49855 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $697 | $3K | 13.26% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS, LTD. | 12006 RIDGEMONT DR URBANDALE, IA 50323 | VISION SERVICE PLAN | $591 | — | $591 | 4.00% |
| ACRISURE LLC3 Filed as: ACRISURE GREAT LAKES PARTNERS | INSURANCE SERVICES, LLC 223 W GRAND RAPIDS AVE #1 HOWELL, MI 48843 | VISION SERVICE PLAN | $356 | — | $356 | 2.41% |
| ACRISURE LLC3 | 300 S FRONT ST MARQUETTE, MI 49855 | VISION SERVICE PLAN | $123 | — | $123 | 0.83% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA VAST | 300 S FRONT ST MARQUETTE, MI 49855 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $388 | $2K | 18.19% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA VAST | 300 SOUTH FRONT STREET MARQUETTE, MI 49855 | MEDICAL AIR SERVICES ASSOCIATION, INC. | $10K | — | $10K | 399.96% |
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 | 250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 85 | $572K |
| Dental | DELTA DENTAL OF MICHIGAN | 153 | $68K |
| Vision | VISION SERVICE PLAN | 262 | $15K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 250 | $34K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 48 | $28K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 85 | $572K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 250 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 262 | — |
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.