| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN R ANTVELINK3 | 2541 BELFAST AVENUE SE GRAND RAPIDS, MI 49507 | PRIORITY HEALTH | $15K | — | $15K | 2.49% |
| EVE M. ROGUS3 Filed as: EVE M ROGUS | 56 GRANDVILLE AVE ST 300 GRAND RAPIDS, MI 49503 | PRIORITY HEALTH | $3K | — | $3K | 0.51% |
| JOHN R ANTVELINK3 | 2541 BELFAST AVENUE SE GRAND RAPIDS, MI 49507 | PRIORITY HEALTH INSURANCE COMPANY | $2K | — | $2K | 2.41% |
| EVE M. ROGUS3 Filed as: EVE M ROGUS | 56 GRANDVILLE AVE ST 300 GRAND RAPIDS, MI 49503 | PRIORITY HEALTH INSURANCE COMPANY | $497 | — | $497 | 0.59% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC | 965 GREENTREE RD SUITE 110 PITTSBURGH, PA 15220 | COMPANION LIFE INSURANCE COMPANY | $1K | — | $1K | 12.46% |
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 | COMPANION LIFE INSURANCE COMPANY | $580 | — | $580 | 5.61% |
| AGENT ALLIANCE CORPORATION3 | 500 CASCADE WEST PKWY SUITE 160 GRAND RAPIDS, MI 49546 | COMPANION LIFE INSURANCE COMPANY | $64 | — | $64 | 0.62% |
| LIGHTHOUSE GROUP3 Filed as: LIGHTHOUSE INSURANCE GROUP, INC | 56 GRANDVILLE AVE SW #300 GRAND RAPIDS, MI 49503 | COMPANION LIFE INSURANCE COMPANY | $1 | — | $1 | 0.01% |
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 | 184 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PRIORITY HEALTH | 118 | $679K |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 184 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.