| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRENDA R MANNING3 | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 496869686 | BLUE CARE NETWORK OF MICHIGAN | $50K | — | $50K | 2.25% |
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 495019501 | BLUE CARE NETWORK OF MICHIGAN | $22K | — | $22K | 0.98% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 495039803 | BLUE CARE NETWORK OF MICHIGAN | $0 | $2K | $2K | 0.10% |
| BRENDA MANNING3 | PETERSON MCGREGOR AND ASSOC. INC. 1368 BUSINESS PARK DR TRAVERSE CITY, MI 49686 | DELTA DENTAL OF MICHIGAN | $5K | — | $5K | 2.27% |
| JAMES R ALTON3 Filed as: JAMES ALTON | ACRISURE LLC 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | DELTA DENTAL OF MICHIGAN | $2K | $218 | $2K | 0.86% |
| JAMES R ALTON3 Filed as: JAMES ALTON | ACRISURE LLC 500 N WATER ST, STE 900 CORPUS CHRISTI, TX 78401 | DELTA DENTAL OF MICHIGAN | $2K | $0 | $2K | 0.75% |
| BRENDA R MANNING3 | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 496869686 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $2K | — | $2K | 2.55% |
| JAMES R ALTON3 | PO BOX 1788 GRAND RAPIDS, MI 495019501 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $545 | — | $545 | 0.82% |
| ACRISURE LLC3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 495039503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $30 | $30 | 0.05% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON-MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 49686 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 8.89% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 4.78% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 3.71% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON-MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 49686 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.56% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 4.57% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $911 | — | $911 | 2.54% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 49686 | EYEMED VISION CARE | $2K | — | $2K | 8.46% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | EYEMED VISION CARE | $2K | — | $2K | 6.50% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON-MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 49686 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.59% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 4.40% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $571 | — | $571 | 2.41% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | PO BOX 1788 GRAND RAPIDS, MI 495019501 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $58 | $2K | 13.29% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON-MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 496868640 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 11.70% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 495011788 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $37 | $2K | 14.23% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 496868640 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 12.18% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 495011788 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $33 | $2K | 15.72% |
| PETERSON MCGREGOR & ASSOCIATES INC.3 Filed as: PETERSON-MCGREGOR AND ASSOCIATES | 1368 BUSINESS PARK DRIVE TRAVERSE CITY, MI 496868640 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 11.73% |
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 | 303 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 307 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | BLUE CARE NETWORK OF MICHIGAN | 409 | $2.3M |
| Dental | DELTA DENTAL OF MICHIGAN | 505 | $221K |
| Vision | EYEMED VISION CARE | 427 | $26K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 303 | $83K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 303 | $24K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 409 | $2.3M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 303 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 505 | — |
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.