| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $8K | — | $8K | 1.98% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | HARTFORD LIFE AND ACCIDENT | $15K | — | $15K | 3.81% |
| ERIC J CONDRON3 | 10880 SANDY OAK TRAIL CEDAR SPRINGS, MI 49319 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19K | — | $19K | 12.80% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10K | — | $10K | 6.31% |
| K HARRIS & ASSOCIATES, LLC3 Filed as: K HARRIS & ASSOCIATES LLC | 950 W NORTON AVE SUITE 201 MUSKEGON, MI 49441 | CONTINENTAL AMERICAN INSURANCE COMPANY | $753 | — | $753 | 0.50% |
| AG AND ASSOCIATES3 | 2150 ASSOCIATION DRIVE SUITE 150 OKEMOS, MI 48864 | CONTINENTAL AMERICAN INSURANCE COMPANY | $468 | — | $468 | 0.31% |
| MIKE S GAYNOR3 | 8672 SHOREWAY DRIVE SW BYRON CENTER, MI 49315 | CONTINENTAL AMERICAN INSURANCE COMPANY | $355 | — | $355 | 0.23% |
| NORTHSTAR AGENCY LLC3 | 3277 NORTHSTAR ST MUSKEGON, MI 49444 | CONTINENTAL AMERICAN INSURANCE COMPANY | $331 | — | $331 | 0.22% |
| NASCA & ASSOCIATES3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $246 | — | $246 | 0.16% |
| CHRISTOPHER E BIALKA3 | 4460 BLACK OAK LANE MASON, OH 45040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $190 | — | $190 | 0.13% |
| KELLY L ANDERSON3 | 15966 FIRTREE DRIVE APPLE VALLEY, MN 55124 | CONTINENTAL AMERICAN INSURANCE COMPANY | $181 | — | $181 | 0.12% |
| CHAD RICHARDSON3 | 9756 BERRY HILL DR CINCINNATI, OH 45241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $176 | — | $176 | 0.12% |
| R WADE INSURANCE AGENCY3 | 1027 ABERDEEN NE GRAND RAPIDS, MI 49505 | CONTINENTAL AMERICAN INSURANCE COMPANY | $163 | — | $163 | 0.11% |
| NIKERINA INC3 | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | — | $144 | 0.09% |
| MARK D BARBIER3 | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | CONTINENTAL AMERICAN INSURANCE COMPANY | $131 | — | $131 | 0.09% |
| HILARY R EBNER3 Filed as: HILARY R NEWCOMB | 15991 LAUDERDALE AVE BEVERLY HILLS, MI 48025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $124 | — | $124 | 0.08% |
| HEATHER A DOLLIVER3 | 212 W SILVER LK ROAD FENTON, MI 48430 | CONTINENTAL AMERICAN INSURANCE COMPANY | $117 | — | $117 | 0.08% |
| SUSAN MARIE WEITKAMP3 Filed as: SUSAN M WEITKAMP | 5051 JOSHUA DR WENTZVILLE, MO 63385 | CONTINENTAL AMERICAN INSURANCE COMPANY | $108 | — | $108 | 0.07% |
| SHEILA M SERAPHIN3 | 3 CHALLY DRIVE YORKVILLE, IL 60560 | CONTINENTAL AMERICAN INSURANCE COMPANY | $107 | — | $107 | 0.07% |
| JEFFREY C WERNER3 | 18096 TRUDY DR SPRING LAKE, MI 49456 | CONTINENTAL AMERICAN INSURANCE COMPANY | $107 | — | $107 | 0.07% |
| ANDREW CASPERSON3 | 303 W ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $100 | — | $100 | 0.07% |
| STEPHANIE L KESSELRING3 | 3141 ROLLING GREEN CT MILFORD, MI 48380 | CONTINENTAL AMERICAN INSURANCE COMPANY | $91 | — | $91 | 0.06% |
| RICHARD H PHILLIPS3 Filed as: RICHARD L MULLIGAN | 3680 CAMELOT DRIVE APT 2A GRAND RAPIDS, MI 49546 | CONTINENTAL AMERICAN INSURANCE COMPANY | $87 | — | $87 | 0.06% |
| JEFFREY A PETERSON3 | 1645 DAYTON AVE ST PAUL, MN 55104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $85 | — | $85 | 0.06% |
| JULIE SLAUGHTER3 | 430 BOARDWALK WALLED LAKE, MI 48390 | CONTINENTAL AMERICAN INSURANCE COMPANY | $59 | — | $59 | 0.04% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: DAVID MERCER | 1885 MINTWOOD DR COLUMBUS, OH 43229 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | — | $55 | 0.04% |
| RONALD J STEIN3 | 14966 ROBBINS ROAD JOHNSTOWN, OH 43031 | CONTINENTAL AMERICAN INSURANCE COMPANY | $45 | — | $45 | 0.03% |
| TODD DEVOSS3 | 321 N CLARK STREET SUITE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.03% |
| ROBERT J AURIN3 Filed as: ROBERT M LANE | 303 W ERIE STREET SUITE 400 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.03% |
| LYNETTE R STEVENS3 | 490 E ROOSEVELT ROAD STE 203 WEST CHICAGO, IL 60185 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34 | — | $34 | 0.02% |
| KEVIN L ERB3 | 5080 DOWLING STREET MONTAGUE, MI 49437 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.02% |
| BRIAN J DAY3 | 8744 UNION CENTRE BLVD WEST CHESTER, OH 45069 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.02% |
| NATHAN L HARRISON3 | 16024 MANCHESTER ROAD SUITE 111 ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.02% |
| RAYMOND L CHAN3 | 1400 SHEPARD DRIVE SUITE 100 STERLING, VA 20164 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.02% |
| JEREMY L TOMLINSON3 | 7825 WASHINGTON AVE S SUITE 425 BLOOMINGTON, MN 55439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.02% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.02% |
| JAMES A BURRESS3 | 445 HUTCHINSON AVE SUITE 820 COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.01% |
| JOSEPH E KING3 | 1115 MISSOURI AVENUE KIRKWOOD, MO 63122 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.01% |
| KELLY V ZURZOLO3 | 535 ABBEYWOOD DRIVE CARY, IL 60013 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.01% |
| CHAD L NELSON3 | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.01% |
| TIMOTHY W POWERS3 Filed as: TIMOTHY J HELMAN | 2550 STONEHAVEN DR SUN PRAIRIE, WI 53590 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.01% |
| DAWN D STILLWELL3 | 206 GATLIN CREEK RD DRIPPING SPRINGS, TX 78620 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.01% |
| GREGORY F STENZEL3 | 6800 STONY HILL ROAD MCKINNEY, TX 75070 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD SUITE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.01% |
| DONALD J CONOYER3 | 303 HOGUE LN WYLIE, TX 75098 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| MICHELLE RAE MAGUIRE3 | 17590 ITALY PATH LAKEVILLE, MN 55044 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| MARK C LAMAR3 | 1006 APPLE BLOSSOM DRIVE FLORENCE, KY 41042 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| PAMELA ROWSEY LARSON3 Filed as: PAMELA R LARSON | 801 LAUDERDALE DR LEXINGTON, KY 40515 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| INGER M PENNINGTON3 | 242 W TANSEY CROSSING WESTFIELD, IN 46074 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| MICHAEL C WALKER3 | 203 MARKET STREET STE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| IAN B BRANYON3 | 8744 UNION CENTRE BLVD WEST CHESTER, OH 45069 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| JEROME JEFFREY PESEK3 Filed as: JEROME J PESEK | 330 TORRINGTON DR AUSTIN, TX 78737 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| WILLIAM E DILLON3 | 6913 CHURCHILL COURT DOWNERS GROVE, IL 60516 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| RUEANN M EMERSON3 | 4820 LAKE BROOK DR STE 125 GLEN ALLEN, VA 23060 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| MICHAEL E RISKA3 | 203 MARKET STREET SUITE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JASON D ELLIS3 | 203 MARKET STREET SUITE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| DARREN L BRUNO3 | 7542 STONE LAKE DR DUBLIN, OH 43016 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| R AARON WRIGHT3 Filed as: AARON R WRIGHT | 9505 TRUSCOTT COURT PROSPECT, KY 40059 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GREGORY J WEEKS3 | 1259 LOOP 337 NORTH 2ND FLOOR NEW BRAUNFELS, TX 78130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GROUP ASSOCIATES, INC.3 | 30800 TELEGRAPH ROAD, STE 3800 BINGHAM FARMS, MI 48025 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 4.91% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 3.34% |
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 | 1,060 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,064 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MICHIGAN | 1,499 | $397K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,263 | $66K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,262 | $386K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 1,262 | $386K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 1,262 | $386K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 1,262 | $538K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,499 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.