| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KIMBERLY A. TRENT3 | 625 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | BLUE CARE NETWORK OF MICHIGAN | $15K | $0 | $15K | 1.55% |
| ANTHONY GROSSA3 Filed as: ANTHONY B. GROSSA | 3055 44TH STREET GRANDVILLE, MI 49418 | BLUE CARE NETWORK OF MICHIGAN | $12K | $0 | $12K | 1.26% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2167 GRAND RAPIDS, MI 49501 | BLUE CARE NETWORK OF MICHIGAN | $0 | $1K | $1K | 0.11% |
| KIMBERLY A. TRENT3 | 625 KENMOOR AVENUE SE SUITE 200 GRAND RAPIDS, MI 49546 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $2K | $0 | $2K | 1.66% |
| ANTHONY GROSSA3 Filed as: ANTHONY B. GROSSA | 3055 44TH STREET GRANDVILLE, MI 49418 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $1K | $0 | $1K | 0.96% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2167 GRAND RAPIDS, MI 49501 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $112 | $112 | 0.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS, HENDRICKS AND STUIT INS. | PO BOX 953 GRANDVILLE, MI 49468 | DELTA DENTAL OF MICHIGAN | $3K | $0 | $3K | 3.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 939 BURLINGTON, NC 27216 | DELTA DENTAL OF MICHIGAN | $2K | $0 | $2K | 1.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 55 EAST JACKSON BOULEVARD CHICAGO, IL 60604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $6K | $9K | 11.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS, HENDRICKS AND STUIT INS. | 3055 44TH STREET SW GRANDVILLE, MI 49418 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 8.25% |
| ASHLEY M. MESSENGER3 | 4200 WEST MICHIGAN AVENUE SUITE 102 KALAMAZOO, MI 49006 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 8.76% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 625 KENMOOR AVENUE SE GRAND RAPIDS, MI 49546 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 5.85% |
| STEVEN R. MILLER3 | 1 IONIA AVENUE SW, SUITE 300 GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $820 | $0 | $820 | 3.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS, HENRICKS AND STUIT INS. | 3055 44TH STREET SW GRANDVILLE, MI 49418 | CONTINENTAL AMERICAN INSURANCE COMPANY | $658 | $0 | $658 | 3.20% |
| AG AND ASSOICATES AND OTHER AGENTS3 | 2150 ASSOCIATION DRIVE, SUITE 150 OKEMOS, MI 48864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $531 | $0 | $531 | 2.59% |
| ERIC J CONDRON3 Filed as: ERIC J. CONDRON | 10880 SANDY OAK TRAIL CEDAR SPRINGS, MI 49319 | CONTINENTAL AMERICAN INSURANCE COMPANY | $470 | $0 | $470 | 2.29% |
| JEFFREY C WERNER3 Filed as: JEFFREY C. WERNER | 18096 TRUDY DRIVE LAKE SPRING, MI 49456 | CONTINENTAL AMERICAN INSURANCE COMPANY | $197 | $0 | $197 | 0.96% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS, HENDRICKS AND STUIT INS. | PO BOX 953 GRANDVILLE, MI 49468 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $698 | $0 | $698 | 5.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 625 KENMOOR SE GRAND RAPIDS, MI 49546 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $585 | $0 | $585 | 4.96% |
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 | 138 | 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) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 197 | $1.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 251 | $89K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 196 | $12K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $84K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $84K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $84K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 197 | $1.1M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 251 | — |
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.