| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | BLUECROSS BLUESHIELD OF ILLINOIS | $134K | $3K | $136K | 3.54% |
| ACRISURE LLC3 | 55 SHUMAN BLVD STE 900 NAPERVILLE, IL 60563 | SUN LIFE ASSURANCE COMPANY OF CANADA | $28K | $5K | $33K | 10.39% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PRESIDIO | 55 SHUMAN BLVD. SUITE 900 NAPERVILLE, IL 60563 | EYEMED | $2K | — | $2K | 7.82% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS., MI 49501 | DEARBORN LIFE INSURANCE COMPANY | $3K | $2K | $5K | 15.73% |
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 | 403 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 653 | $3.9M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 445 | $313K |
| Vision | EYEMED | 439 | $31K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 445 | $344K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 445 | $313K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 445 | $313K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 403 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 653 | — |
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.