| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2600 S TELEGRAPH RD, SUITE 100 BLOOMFIELD HILLS, MI 48302 | HEALTH ALLIANCE PLAN | $360K | — | $360K | 1.23% |
| K&M ACCOUNTING LLC3 Filed as: K & M ACCOUNTING L.L.C. | 5153 S BLISS LN NEWAYGO, MI 49337 | HEALTH ALLIANCE PLAN | $180K | — | $180K | 0.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD FL 4 ROLLING MEADOWS, IL 60008 | DELTA DENTAL OF MICHIGAN | $36K | $2K | $38K | 2.09% |
| K&M ACCOUNTING LLC3 Filed as: K & M ACCOUNTING L.L.C. | 5153 S BLISS LN NEWAYGO, MI 49337 | DELTA DENTAL OF MICHIGAN | $13K | — | $13K | 0.74% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 12750 MERIT DR SUITE 1000 DALLAS, TX 75251 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $31K | — | $31K | 9.91% |
| K&M ACCOUNTING LLC3 Filed as: K & M ACCOUNTING L.L.C. | 5153 S BLISS LN NEWAYGO, MI 49337 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $17K | — | $17K | 5.62% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | NGL | $20K | — | $20K | 6.69% |
| K&M ACCOUNTING LLC3 Filed as: K & M ACCOUNTING L.L.C. | 5153 S BLISS LN NEWAYGO, MI 49337 | NGL | $10K | — | $10K | 3.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ARTHUR J. GALLAGHER & CO. NOT RELATED | Insurance brokerage commissions and fees Service code 53 | 30150 TELEGRAPH RD STE 408 BINGHAM FARMS, MI 48025 | $508K |
| PLANSOURCE BENEFITS AND ADMIN INC NOT RELATED | Contract Administrator Service code 13 | 625 KENMOOR AVE SE STE 102 GRAND RAPIDS, MI 49546 | $237K |
| K & M ACCOUNTING L.L.C. NOT RELATED | Insurance brokerage commissions and fees Service code 53 | 5153 S BLISS LN NEWAYGO, MI 49337 | $158K |
| GOODLANDER, SWETT & RYBICKI NOT RELATED | Accounting (including auditing) Service code 10 | 4462 PLAINFIELD NE GRAND RAPIDS, MI 49525 | $0 |
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 | 2,336 | 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) | 2,336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MICHIGAN | 6,025 | $1.8M |
| Vision | NGL | 5,998 | $294K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 705 | $311K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 705 | $311K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 705 | $311K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,025 | — |
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.