| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC-PAMELA STEWART | 500 N WATER ST, STE 900 CORPUS CHRISTI, TX 78401 | DELTA DENTAL OF MICHIGAN | $1K | — | $1K | 3.37% |
| ACRISURE LLC3 Filed as: ACRISURE LLC-HEATHER MOSHER | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $710 | $130 | $840 | 2.19% |
| ACRISURE LLC3 Filed as: ACRISURE LLC-HEATHER MOSHER | 500 N WATER ST, STE 900 CORPUS CHRISTI, TX 78401 | DELTA DENTAL OF MICHIGAN | $381 | $130 | $511 | 1.33% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC-PAMELA HILLIER | 500 N WATER ST, STE 900 CORPUS CHRISTI, TX 78401 | DELTA DENTAL OF MICHIGAN | $213 | — | $213 | 0.55% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA VAST | 300 S FRONT ST MARQUETTE, MI 49855 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $476 | $114 | $590 | 5.82% |
| ACRISURE LLC3 | DETROIT OFFICE 5664 PRAIRIE CREEK SE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $537 | — | $537 | 5.30% |
| ACRISURE LLC3 | 300 S FRONT ST MARQUETTE, MI 49855 | VISION SERVICE PLAN | $643 | — | $643 | 8.16% |
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 | 134 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 134 | $810K |
| Dental | DELTA DENTAL OF MICHIGAN | 117 | $38K |
| Vision | VISION SERVICE PLAN | 69 | $8K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 133 | $10K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 133 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 134 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.