| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROY FARRELL3 | 489 SEMINOLE RD MUSKEGON, MI 494443734 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $24K | — | $24K | 1.39% |
| ROY FARRELL3 | 489 SEMINOLE RD MUSKEGON, MI 494443734 | BLUE CARE NETWORK OF MICHIGAN | $17K | — | $17K | 1.47% |
| ROY FARRELL3 | 489 SEMINOLE RD MUSKEGON, MI 494443734 | BLUE CARE NETWORK OF MICHIGAN | $28K | $634 | $28K | 2.67% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | DBA EMPLOYEE BENEFIT SERVICES 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | THE HEALTH PLAN | $32K | — | $32K | 4.63% |
| ROY F FARRELL3 | 161 OTTAWA AVE NW STE 301 GRAND RAPIDS, MI 49503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $7K | $7K | 3.18% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 2.32% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $6K | — | $6K | 2.97% |
| ROY FARRELL3 | 489 SEMINOLE RD MUSKEGON, MI 494443734 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | $36 | $3K | 2.66% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $4K | — | $4K | 4.71% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 6.29% |
| ROY F FARRELL3 | 161 OTTAWA AVE NW STE 301 GRAND RAPIDS, MI 49503 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 3.12% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | DBA EMPLOYEE BENEFIT SERVICES 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $2K | — | $2K | 10.00% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | DBA EMPLOYEE BENEFIT SERVICES 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $1K | — | $1K | 10.00% |
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 | 413 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 417 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 262 | $5.2M |
| Dental(2 contracts) | DELTA DENTAL OF MICHIGAN | 494 | $285K |
| Vision(2 contracts) | NATIONAL VISION ADMINISTRATORS, L.L.C. | 398 | $36K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 413 | $209K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 266 | $76K |
| Prescription drug(7 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 262 | $5.2M |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 413 | $209K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 494 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.