BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Give Em a Brake Safety LLC

Retail — stores, food, auto, clothing · Grandville, Michigan · EIN ending 9050

Updated Filing received by DOL

Give Em a Brake Safety LLC, a retail — stores, food, auto, clothing employer in Grandville, Michigan, reported 282 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 8 insurance contracts with no premium reported and $130,785 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on July 14, 2025, before the deadline.

Participants
282
−1.7% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$130,785
−0.6% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Give Em a Brake Safety LLC's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Give Em a Brake Safety LLC filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Elaine Ash · Grand Rapids, MI$73,683$0$73,6831
Advanced Benefit Solutions, in · Cadillac, MI$31,581$5,382$36,9637
Benefit Profiles Inc · Grand Rapids, MI$0$12,301$12,3014
Brian Cote · Cadillac, MI$7,838$0$7,8381

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Unum Insurance Companycoverage not coded46—$1,056—
Priority Health Insurance Companyhealth421—$81,521—
Unum Insurance Companycoverage not coded47—$1,403—
Unum Life Insurance Company of Americalife319—$821—
Unum Life Insurance Company of Americalife121—$13,384—
Starmount Life Insurance Companydental, vision257—$27,261—
Unum Insurance Companycoverage not coded16—$323—
Unum Life Insurance Company of Americashort-term disability43—$5,016—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Give Em a Brake Safety LLC compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Give Em a Brake Safety LLC
$130,785
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$131,594$130,785Broker pay20232024
Give Em a Brake Safety LLC: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants287282−1.7%
Premiums filed$0$0not comparable
Broker commissions + fees$131,594$130,785−0.6%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Give Em a Brake LLC Welfare Benefit Plan#503 · insurance, general assetsDecember 31, 2024July 14, 2025before deadline282

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Give Em a Brake Safety LLC pay in health insurance broker commissions in 2024?

Give Em a Brake Safety LLC's 2024 Form 5500 reports $130,785 in broker commissions and fees across 8 insurance contracts ($113,102 in commissions, $17,683 in fees), with Elaine Ash receiving the largest share.

Is Give Em a Brake Safety LLC's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Priority Health Insurance Company.

How does Give Em a Brake Safety LLC's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Give Em a Brake Safety LLC because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.