2023 Form 5500 filing — Amerisure Mutual Insurance Company Flexible Benefits Program
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241002154740NAL0009085489001) for Amerisure Mutual Insurance Company Flexible Benefits Program, reported by Amerisure Mutual Insurance Company under EIN 38-0829210 and plan number 501. It reports 734 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20241002154740NAL0009085489001
- Plan sponsor
- Amerisure Mutual Insurance Company
- EIN
- 38-0829210
- Plan number
- 501
- Location
- Farmington Hills, MI
- Received date
- not reported in the loaded dataset
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Community Insurance Company | BENEFIT ADMINISTRATOR | $0 | $838,641 |
| Community Insurance Company | BENEFIT ADMINISTRATOR | $459,860 | $0 |
| Delta Dental Of Michigan | BENEFIT ADMINISTRATOR | $31,116 | $0 |
| Gallagher Benefit Services Inc | BROKER AGENT | $0 | $20,295 |
| Gallagher Benefit Services, Inc. | BROKER AGENT | $0 | $13,016 |