| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KIMBERLY PERKINS3 Filed as: KIMBERLY KNUE | 2600 S. TELEGRAPH RD SUITE 100 BLOOMFIELD HILLS, MI 48302 | BLUE CARE NETWORK OF MICHIGAN | $26K | — | $26K | 1.53% |
| KARL JOSEPH JR RUTH3 | 53225 SAMS LANE CHESTERFIELD, MI 48047 | BLUE CARE NETWORK OF MICHIGAN | $24K | — | $24K | 1.40% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | $2K | — | $2K | 0.10% |
| KIMBERLY PERKINS3 Filed as: KIMBERLY KNUE | 2600 S. TELEGRAPH RD SUITE 100 BLOOMFIELD HILLS, MI 48302 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $4K | — | $4K | 1.51% |
| KARL JOSEPH JR RUTH3 | 53225 SAMS LANE CHESTERFIELD, MI 48047 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | — | $3K | 1.45% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $132 | — | $132 | 0.06% |
| KARL JOSEPH JR RUTH3 | 53225 SAMS LANE CHESTERFIELD, MI 48047 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 2.76% |
| KIMBERLY PERKINS3 Filed as: KIMBERLY KNUE | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 2.01% |
| KARL JOSEPH JR RUTH3 | 53225 SAMS LANE CHESTERFIELD, MI 48047 | DELTA DENTAL OF MICHIGAN | $897 | — | $897 | 2.63% |
| KIMBERLY PERKINS3 Filed as: KIMBERLY KNUE | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | DELTA DENTAL OF MICHIGAN | $699 | — | $699 | 2.05% |
| AJM ASSOCIATES INC3 | 53225 SAMS LANE CHESTERFIELD, MI 48047 | VISION SERVICE PLAN | $841 | — | $841 | 3.73% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 95287 CHICAGO, IL 60694 | VISION SERVICE PLAN | $806 | — | $806 | 3.57% |
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 | 366 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 366 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 366 | $2.0M |
| Dental(2 contracts) | DELTA DENTAL OF MICHIGAN | 224 | $122K |
| Vision | VISION SERVICE PLAN | 143 | $23K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 366 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 366 | — |
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.