| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUGHES, ROBERT L3 | 1 IONIA AVE SW SUITE 300 GRAND RAPIDS, MI 49503 | PRIORITY HEALTH | $41K | — | $41K | 2.56% |
| MCKINLEY, JAMES N3 | 1543 BROOKWOOD DR MUSKEGON, MI 49441 | PRIORITY HEALTH | $7K | — | $7K | 0.44% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC | 1 IONIA AVE SW STE 300 GRAND RAPIDS, MI 49503 | METROPOLITAN LIFE INSURANCE COMPANY | $37K | — | $37K | 15.37% |
| ACRISURE LLC3 Filed as: ACRISURE DBA HNI RISK SERVICES | 140 MONROE CENTER ST NW STE 200 GRAND RAPIDS, MI 49503 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 2.55% |
| HUGHES, ROBERT L3 | 1 IONIA AVE SW SUITE 300 GRAND RAPIDS, MI 49503 | PRIORITY HEALTH INSURANCE COMPANY | $4K | — | $4K | 2.49% |
| MCKINLEY, JAMES N3 | 1543 BROOKWOOD DR MUSKEGON, MI 49441 | PRIORITY HEALTH INSURANCE COMPANY | $735 | — | $735 | 0.51% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP, INC. | ROBERT HUGHES 1 IONIA AVE SW, STE 300 GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $4K | $296 | $5K | 4.27% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC--JAMES MCKINLEY | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MICHIGAN | $404 | — | $404 | 0.36% |
| ADVANTAGE BENEFITS GROUP3 Filed as: ADVANTAGE BENEFITS GROUP INC. | 1 IONIA AVE SW STE 300 GRAND RAPIDS, MI 49503 | VISION SERVICE PLAN | $3K | — | $3K | 7.61% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | PO BOX 1788 GRAND RAPIDS, MI 49501 | VISION SERVICE PLAN | $530 | — | $530 | 1.57% |
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 | 209 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 210 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PRIORITY HEALTH | 263 | $1.7M |
| Dental | DELTA DENTAL OF MICHIGAN | 400 | $112K |
| Vision | VISION SERVICE PLAN | 204 | $34K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $244K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $244K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $244K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 335 | $244K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 400 | — |
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."
No prospect flags tripped on this filing.