Plan Ledger DOL Form 5500 · updated monthly

Purity Cylinder Gases Inc.benefits

Purity Cylinder Gases Inc. Flexible Benefit Plan · GRAND RAPIDS, MI · plan year 2025

Broker compensation reported · 2025
$172,541

Purity Cylinder Gases Inc.'s benefits plans covered 235 active participants in 2025, providing health · life · dental · vision · long-term disability · death benefits. Insurance premiums totaled $2,300,755. Insurance brokers and agents were paid $172,541 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 7.5% of premiums. That is $734 per covered person, in the top 10% of employer plans that report broker pay. Broker pay rose 8.8% from $158,640 in 2024.

Insurance contracts · 20255
BLUE CROSS BLUE SHIELD OF MICHIGAN · health drug vision ppo$1.3M · 476 covered
BLUE CARE NETWORK OF MICHIGAN · health drug hmo$790K · 111 covered
DELTA DENTAL OF MICHIGAN · dental$195K · 592 covered
PRIORITY HEALTH · health drug hmopremiums n/a · 363 covered
LIFE INSURANCE COMPANY OF NORTH AMERICA · life ltdpremiums n/a · 216 covered
Brokers & agents paid · 20254
ANDREW L. DISSELKOEN$139,839
HUB INTERNATIONAL MIDWEST LIMITED$17,623 · incl $2,920 fees
HUB INTERNATIONAL MIDWEST LTD$3,207 · incl $3,207 fees

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 380947004 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.