| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADVANTAGE BENEFITS GROUP Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | BLUE CARE NETWORK OF MICHIGAN | $38K | — | $38K | 2.97% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | DELTA DENTAL OF MICHIGAN | $7K | — | $7K | 5.67% |
| ADVANTAGE BENEFITS GROUP Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN | $4K | — | $4K | 3.93% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | $3K | $63 | $3K | 7.83% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | $3K | $53 | $3K | 12.33% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | $2K | $44 | $2K | 9.34% |
| ADVANTAGE BENEFITS GROUP Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | VISION SERVICE PLAN | $1K | — | $1K | 5.48% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | $3K | $34 | $3K | 15.18% |
| ADVANTAGE BENEFITS GROUP Filed as: ADVANTAGE BENEFITS GROUP INC | 89 MONROE CENTER STE 200 GRAND RAPIDS, MI 495032662 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 25.00% |
| ROBERT J. MCCORMICK III LLC4 Filed as: ROBERT J MCCORMICK III LLC | UNIT 633 408 CHICAGO DR JENISON, MI 49429 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $133 | — | $133 | 30.02% |
| STEVEN L. JONES4 Filed as: STEVEN L JONES | APT 3A 3182 RIVERVIEW DR NW GRAND RAPIDS, MI 49544 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $59 | — | $59 | 13.32% |
| AMBER C. JONES4 Filed as: AMBER C JONES | 2923 WALDON WOODS DR SW WYOMING, MI 49519 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $11 | — | $11 | 2.48% |
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 | 186 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 371 | $1.4M |
| Dental | DELTA DENTAL OF MICHIGAN | 405 | $125K |
| Vision | VISION SERVICE PLAN | 113 | $20K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | 186 | $43K |
| Short-term disability(2 contracts) | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | 186 | $58K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURACE COMPANY | 186 | $28K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 371 | $1.3M |
| Other | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | 27 | $443 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 405 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.