| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CARE NETWORK OF MICHIGAN | $286K | — | $286K | 2.80% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | — | $18K | $18K | 0.18% |
| ACRISURE LLC3 | JAMES ALTON 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $32K | — | $32K | 4.62% |
| ACRISURE LLC3 | DBA THE CAMPBELL GROUP 4808 BROADMOOR AVE SE KENTWOOD, MI 49512 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $20K | — | $20K | 5.55% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $11K | $11K | 6.95% |
| JAMES R ALTON3 | P O BOX 1788 GRAND RAPIDS, MI 49501 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $2K | — | $2K | 1.08% |
| ACRISURE LLC3 | DBA THE CAMPBELL GROUP 4808 BROADMOOR AVE SE KENTWOOD, MI 49512 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $2K | $15K | 17.12% |
| ACRISURE LLC3 | DBA THE CAMPBELL GROUP 4808 BROADMOOR AVE SE KENTWOOD, MI 49512 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | $2K | $14K | 16.96% |
| ACRISURE LLC3 | DBA THE CAMPBELL GROUP 4808 BROADMOOR AVE SE KENTWOOD, MI 49512 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | $2K | $13K | 16.99% |
| ACRISURE LLC3 | DBA THE CAMPBELL GROUP 4808 BROADMOOR AVE SE KENTWOOD, MI 49512 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 6.60% |
| ACRISURE LLC3 | DBA THE CAMPBELL GROUP 4808 BROADMOOR AVE SE KENTWOOD, MI 49512 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 13.68% |
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 | 2,183 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 1,578 | $10.4M |
| Dental | DELTA DENTAL OF MICHIGAN | 1,821 | $695K |
| Vision | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,578 | $157K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,778 | $357K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 552 | $74K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 1,578 | $10.4M |
| Other(5 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,778 | $659K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,821 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.