| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES R ALTON3 Filed as: JAMES ALTON | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | PRIORITY HEALTH | $54K | — | $54K | 2.09% |
| PATRICIA CLINE3 | PO BOX 50631 KALAMAZOO, MI 49005 | PRIORITY HEALTH | $24K | — | $24K | 0.91% |
| JAMES R ALTON3 Filed as: JAMES ALTON | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | PRIORITY HEALTH INSURANCE COMPANY | $5K | — | $5K | 2.05% |
| PATRICIA CLINE3 | PO BOX 50631 KALAMAZOO, MI 49005 | PRIORITY HEALTH INSURANCE COMPANY | $2K | — | $2K | 0.95% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | DELTA DENTAL OF MICHIGAN | $9K | $387 | $9K | 5.35% |
| ACRISURE LLC3 | 1229 SWIFT AVE N KANSAS CITY, MO 64116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $4K | $7K | 6.85% |
| CHRISTOPHER T FISHER LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 2.55% |
| ACRISURE LLC3 | 1229 SWIFT AVE N KANSAS CITY, MO 64116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $4K | $6K | 5.94% |
| CHRISTOPHER T FISHER LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 3.33% |
| ACRISURE LLC3 | 1229 SWIFT AVE N KANSAS CITY, MO 64116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $3K | $8K | 10.79% |
| CHRISTOPHER T FISHER LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 3.93% |
| ACRISURE LLC3 | 1229 SWIFT AVE N KANSAS CITY, MO 64116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 10.44% |
| CHRISTOPHER T FISHER LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $980 | — | $980 | 2.56% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | VISION SERVICE PLAN | $937 | — | $937 | 2.56% |
| CHRISTOPHER T FISHER LLC3 Filed as: CHRISTOPHER T FISHER LLC DBA | KEYSER INSURANCE GROUP 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | VISION SERVICE PLAN | $552 | — | $552 | 1.51% |
| ACRISURE LLC3 | 1229 SWIFT AVE N KANSAS CITY, MO 64116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 15.00% |
| CHRISTOPHER T FISHER LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.12% |
| ACRISURE LLC3 | 1229 SWIFT AVE N KANSAS CITY, MO 64116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 14.94% |
| CHRISTOPHER T FISHER LLC3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.23% |
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 | 290 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PRIORITY HEALTH | 632 | $2.8M |
| Dental | DELTA DENTAL OF MICHIGAN | 524 | $175K |
| Vision | VISION SERVICE PLAN | 202 | $37K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 296 | $110K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 302 | $100K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 296 | $97K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 296 | $163K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 632 | — |
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.