| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES MCKINLEY3 | 140 MONROE CENTER ST NW STE 200 GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $32K | — | $32K | 3.70% |
| ACRISURE LLC3 Filed as: ACRISURE | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $4K | $4K | 0.43% |
| JAMES MCKINLEY3 | 140 MONROE CENTER ST NW STE 200 GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | $13K | — | $13K | 3.76% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | — | $3K | $3K | 0.74% |
| ACRISURE LLC3 | DBA HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 4.33% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | JAMES MCKINLEY 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $5K | — | $5K | 4.21% |
| ACRISURE LLC3 | DBA HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.50% |
| ACRISURE LLC3 | DBA HNI RISK SERVICES 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 6.07% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $481 | — | $481 | 9.76% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $278 | — | $278 | 10.06% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $259 | — | $259 | 10.01% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $151 | — | $151 | 8.30% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $148 | — | $148 | 8.29% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $123 | — | $123 | 9.11% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | $7 | — | $7 | 10.29% |
| JIM MCKINLEY3 | 1534 BROOKWOOD DR NORTON SHORE, MI 49441 | NATIONAL GUARDIAN LIFE INSURANCE | — | — | $0 | — |
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 | 195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 158 | $1.2M |
| Dental | DELTA DENTAL OF MICHIGAN | 248 | $111K |
| Vision(8 contracts) | NATIONAL GUARDIAN LIFE INSURANCE | 38 | $15K |
| Life insurance | STANDARD INSURANCE COMPANY | 192 | $75K |
| Short-term disability | STANDARD INSURANCE COMPANY | 63 | $46K |
| Long-term disability | STANDARD INSURANCE COMPANY | 192 | $113K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 158 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.