| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 55 EAST JACKSON BLVD STE 14B CHICAGO, IL 60604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $11K | $15K | 11.82% |
| AXIOS INSURANCE ADVISORS, LLC3 Filed as: AXIOS INSURANCE ADVISORS LLC | 528 4TH ST NW GRAND RAPIDS, MI 49504 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.10% |
| AXIOS INSURANCE ADVISORS, LLC Filed as: AXIOS INSURANCE ADVISORS | 528 4TH ST NW GRAND RAPIDS, MI 49504 | EYEMED | $801 | $0 | $801 | 4.58% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL - GRAND RAPIDS MI | 625 KENMOOR SE GRAND RAPIDS, MI 49546 | EYEMED | $447 | $0 | $447 | 2.56% |
| USI INSURANCE SERVICES LLC Filed as: USI INSURANCE SERVICES NATIONAL INC | 625 KENMOOR SE, SUITE 200 GRAND RAPIDS, MI 49546 | EYEMED | $336 | $0 | $336 | 1.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 TPA | Other fees; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Insurance services; Consulting (general); Contract Administrator; Direct payment from the plan Service code 12 | 86 MONROE CTR NW GRAND RAPIDS, MI 495032930 | $93K |
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 | 133 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 145 | $130K |
| Vision | EYEMED | 329 | $17K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 145 | $130K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 145 | $130K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 145 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 329 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.