| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASSIE GOODBAND3 | 444 W. MICHIGAN AVENUE KALAMAZOO, MI 49007 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $20K | — | $20K | 3.08% |
| PATRICIA L CLINE3 | 444 W MICHIGAN AVE KALAMAZOO, MI 49007 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $2K | — | $2K | 0.31% |
| ACRISURE LLC3 | 100 OTTAWA AVE, SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $1K | $1K | 0.23% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC - CASSIE GOODBAND | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $2K | — | $2K | 4.73% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 16.54% |
| ACRISURE LLC5 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $324 | $324 | 2.01% |
| ACRISURE LLC5 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $316 | $2K | 17.40% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $840 | $840 | 6.37% |
| ACRISURE LLC3 | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $843 | $2K | 16.45% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $874 | $678 | $2K | 15.55% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $590 | $2K | 21.84% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA KEYSER INS GROUP | 7303 MERCHANT CT LAKEWOOD RANCH, FL 34240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $771 | $471 | $1K | 16.11% |
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 | 113 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 196 | $635K |
| Dental | DELTA DENTAL OF MICHIGAN | 175 | $51K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 88 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $16K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 55 | $16K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $13K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 196 | $635K |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.