| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHONY GROSSA3 Filed as: ANTHONY B. GROSSA | 3055 44TH STREET SOUTHWEST GRANDVILLE, MI 49418 | BLUE CARE NETWORK OF MICHIGAN | $12K | $0 | $12K | 3.21% |
| DOMINIC SICILIANO3 | 500 CASCADE WEST PARKWAY, SUITE 1 ADA, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $3K | $0 | $3K | 0.75% |
| ANTHONY GROSSA3 Filed as: ANTHONY B. GROSSA | 3055 44TH STREET SOUTHWEST GRANDVILLE, MI 49418 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $8K | $0 | $8K | 3.77% |
| DOMINIC SICILIANO3 | 500 CASCADE WEST PARKWAY, SUITE 1 ADA, MI 49546 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $2K | $0 | $2K | 0.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INS. AGENCY | 3055 44TH STREET SOUTHWEST GRANDVILLE, MI 49418 | DELTA DENTAL OF MICHIGAN | $992 | $0 | $992 | 2.72% |
| BENEFIT PROFILES INC3 Filed as: BENEFIT PROFILES, INC. | 500 CASCADE WEST PARKWAY GRAND RAPIDS, MI 49546 | DELTA DENTAL OF MICHIGAN | $577 | $98 | $675 | 1.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INS. AGENCY | 3055 44TH STREET SOUTHWEST GRANDVILLE, MI 49418 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $13 | $3K | 11.25% |
| BENEFIT PROFILES INC3 Filed as: BENEFIT PROFILES, INC. | 500 CASCADE WEST PARKWAY GRAND RAPIDS, MI 49546 | METROPOLITAN LIFE INSURANCE COMPANY | $989 | $0 | $989 | 3.74% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INS. AGENCY | PO BOX 953 GRANDVILLE, MI 49468 | VISION SERVICE PLAN INSURANCE | $501 | $0 | $501 | 6.56% |
| BENEFIT PROFILES INC3 Filed as: BENEFIT PROFILES, INC. | 500 CASCADE WEST PARKWAY GRAND RAPIDS, MI 49546 | VISION SERVICE PLAN INSURANCE | $239 | $0 | $239 | 3.13% |
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 | 126 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 45 | $573K |
| Dental | DELTA DENTAL OF MICHIGAN | 101 | $36K |
| Vision | VISION SERVICE PLAN INSURANCE | 64 | $8K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 150 | $26K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 45 | $573K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 150 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 150 | — |
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.