| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 16805 WEST CLEVELAND AVENUE NEW BERLIN, WI 53151 | STARMOUNT LIFE INSRUANCE COMPANY | $3K | $188 | $3K | 9.68% |
| TRICOAST ADVISORS LLC3 Filed as: TRICOAST ADVISORS, LLC | PO BOX 510187 NEW BERLIN, WI 53151 | STARMOUNT LIFE INSRUANCE COMPANY | $277 | $0 | $277 | 0.99% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 16805 WEST CLEVELAND AVENUE NEW BERLIN, WI 53151 | UNUM LIFE INSURACE COMPANY OF AMERICA | $2K | $117 | $2K | 12.77% |
| TRICOAST ADVISORS LLC3 Filed as: TRICOAST ADVISORS, LLC | 50 LOUIS STREET SW, SUITE 510 GRAND RAPIDS, MI 49503 | UNUM LIFE INSURACE COMPANY OF AMERICA | $168 | $0 | $168 | 0.97% |
| TRICOAST ADVISORS LLC3 Filed as: TRICOAST ADVISORS, LLC | PO BOX 510187 NEW BERLIN, WI 53151 | UNUM LIFE INSURACE COMPANY OF AMERICA | $57 | $0 | $57 | 0.33% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | PO BOX 1788 GRAND RAPIDS, MI 49501 | VISION SERVICE PLAN | $685 | $0 | $685 | 9.04% |
| HNI RISK SERVICES3 | 50 LOUIS STREET SW, SUITE 510 GRAND RAPIDS, MI 49503 | VISION SERVICE PLAN | $72 | $0 | $72 | 0.95% |
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 | 120 | 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) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSRUANCE COMPANY | 93 | $28K |
| Vision | VISION SERVICE PLAN | 86 | $8K |
| Life insurance | UNUM LIFE INSURACE COMPANY OF AMERICA | 121 | $17K |
| Other | UNUM LIFE INSURACE COMPANY OF AMERICA | 121 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.