| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ELAINE ASH3 | 161 OTTAWA NW SUITE 301 GRAND RAPIDS, MI 49503 | PRIORITY HEALTH INSURANCE COMPANY | $4K | — | $4K | 4.00% |
| ACRISURE LLC3 | MEG GOEBEL 5664 PRAIRIE CREEK DR. SE CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $5K | — | $5K | 6.01% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR. CALEDONIA, MI 49316 | COMPANION LIFE | $3K | — | $3K | 13.68% |
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 | COMPANION LIFE | $1K | — | $1K | 6.15% |
| AGENT ALLIANCE CORPORATION3 Filed as: AGENT ALLILANCE CORPORATION | 500 CASCADE WEST PARKWAY SUITE 160 GRAND RAPIDS, MI 49546 | COMPANION LIFE | $164 | — | $164 | 0.69% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PAUL GOEBEL | GROUP INC 161 OTTAWA AVE., NW #301 GRAND RAPIDS, MI 49503 | EYEMED | $1K | — | $1K | 7.29% |
| BENEFIT PROFILES INC3 Filed as: BENEFIT PROFILES INC. | 500 CASCADE ROAD #160 GRAND RAPIDS, MI 49546 | EYEMED | $777 | — | $777 | 4.21% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR. CALEDONIA, MI 49316 | COMPANION LIFE | $452 | — | $452 | 14.99% |
| BENEFIT PROFILES INC3 | 500 CASCADE WEST PKWY SE GRAND RAPIDS, MI 49546 | COMPANION LIFE | $204 | — | $204 | 6.76% |
| AGENT ALLIANCE CORPORATION3 | 500 CASCADE WEST PARKWAY SUITE 160 GRAND RAPIDS, MI 49546 | COMPANION LIFE | $23 | — | $23 | 0.76% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PAUL | GOEBEL GROUP 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $111 | $16 | $127 | 11.96% |
| BENEFIT PROFILE INC3 | 500 CASCADE WEST PKWY SE STE 160 GRAND RAPIDS, MI 49546 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $111 | — | $111 | 10.45% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PAUL | GOEBEL GROUP 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $51 | $8 | $59 | 11.64% |
| BENEFIT PROFILE INC3 | 500 CASCADE WEST PKWAY SE STE 160 GRAND RAPIDS, MI 49546 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $51 | — | $51 | 10.06% |
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 | 194 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | 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) | PRIORITY HEALTH INSURANCE COMPANY | 12 | $95K |
| Dental | DELTA DENTAL OF MICHIGAN | 338 | $82K |
| Vision | EYEMED | 346 | $18K |
| Life insurance(2 contracts) | COMPANION LIFE | 212 | $27K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 8 | $507 |
| Other(3 contracts, 2 carriers) | COMPANION LIFE | 212 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 346 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.