| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A. HEINTZ3 | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | BLUE CARE NETWORK OF MICHIGAN | $37K | $0 | $37K | 3.45% |
| EDGE INSURANCE GROUP LLC3 Filed as: EDGE INSURANCE GROUP, LLC | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | BLUE CARE NETWORK OF MICHIGAN | $0 | $1K | $1K | 0.13% |
| ROXANNA DIETERLE3 | 300 OTTAWA, SUITE 300 GRAND RAPIDS, MI 49503 | BLUE CARE NETWORK OF MICHIGAN | $572 | $0 | $572 | 0.05% |
| ROBERT A. HEINTZ3 | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $4K | $0 | $4K | 2.77% |
| EDGE INSURANCE GROUP LLC3 Filed as: EDGE INSURANCE GROUP, LLC | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $156 | $156 | 0.11% |
| ROXANNA DIETERLE3 | 300 OTTAWA, SUITE 300 GRAND RAPIDS, MI 49503 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $74 | $0 | $74 | 0.05% |
| EDGE INSURANCE GROUP LLC3 Filed as: EDGE INSURANCE GROUP, LLC | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | $2K | $16K | 13.80% |
| EDGE INSURANCE GROUP LLC3 Filed as: EDGE INSURANCE GROUP, LLC | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | DELTA DENTAL OF MICHIGAN | $4K | $0 | $4K | 4.73% |
| EDGE INSURANCE GROUP LLC3 Filed as: EDGE INSURANCE GROUP, LLC | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | $0 | $2K | 10.03% |
| EDGE INSURANCE GROUP LLC3 Filed as: EDGE INSURANCE GROUP, LLC | 5570 WILSON AVENUE SW, SUITE D GRANDVILLE, MI 49418 | ASSURITY LIFE INSURANCE COMPANY | $8K | $0 | $8K | 56.13% |
| GRAND COMPANIES, LLC3 | 5481 SAND DUNE COURT SW WYOMING, MI 49418 | ASSURITY LIFE INSURANCE COMPANY | $1K | $0 | $1K | 11.05% |
| TRIONFO3 | 333 WEST PIERCE ROAD, SUITE 190 ITASCA, IL 60143 | METROPOLITAN PROPERTY AND CASUALTY INSURANCECO. | $516 | $0 | $516 | 10.00% |
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 | 217 | 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) | 217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 200 | $1.2M |
| Dental | DELTA DENTAL OF MICHIGAN | 248 | $94K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 250 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $117K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $117K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $117K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CARE NETWORK OF MICHIGAN | 200 | $1.2M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 217 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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.