| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHELLE R. STOUFFER3 | 140 MONROE CENTER STREET NW SUITE 20 GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | $26K | $1K | $27K | 2.66% |
| MICHELLE R. STOUFFER3 | 140 MONROE CENTER STREET NW SUITE 20 GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $3K | $78 | $3K | 2.51% |
| HNI RISK SERVICES3 | 16805 WEST CLEVELAND AVENUE NEW BERLIN, WI 53131 | DELTA DENTAL OF MICHIGAN | $4K | $305 | $4K | 6.25% |
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PARKWAY GRAND RAPIDS, MI 49546 | DELTA DENTAL OF MICHIGAN | $2K | $0 | $2K | 3.71% |
| HNI RISK SERVICES3 | 140 MONROE CENTER STREET NW SUITE 200 GRAND RAPIDS, MI 49503 | VISION SERVICE PLAN | $1K | $0 | $1K | 9.13% |
| MICHIGAN CHAMBER SERVICES, INC.3 Filed as: MICHIGAN CHAMBER SERVICES INC | 600 SOUTH WALNUT STREET LANSING, MI 48933 | VISION SERVICE PLAN | $864 | $0 | $864 | 7.30% |
| MARC D. DEVISSER3 | 140 MONROE CENTER STREET NW SUITE 200 GRAND RAPIDS, MI 49503 | KANSAS CITY LIFE INSURANCE COMPANY | $717 | $0 | $717 | 9.92% |
| ELIZABETH CASEY3 | 140 MONROE CENTER STREET NW SUITE 200 GRAND RAPIDS, MI 49503 | KANSAS CITY LIFE INSURANCE COMPANY | $90 | $0 | $90 | 1.25% |
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 | 144 | 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) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 182 | $1.1M |
| Dental | DELTA DENTAL OF MICHIGAN | 194 | $66K |
| Vision | VISION SERVICE PLAN | 95 | $12K |
| Life insurance | KANSAS CITY LIFE INSURANCE COMPANY | 149 | $7K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 182 | $1.1M |
| Other | KANSAS CITY LIFE INSURANCE COMPANY | 149 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.