| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $172K | $65K | $237K | 11.00% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM LIFE INSURANCE | $14K | $10K | $23K | 3.00% |
| ACRISURE LLC5 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM LIFE INSURANCE | $51K | $4K | $55K | 16.25% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | VISION SERVICE PLAN | $5K | — | $5K | 1.67% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM INSURANCE COMPANY | $12K | $999 | $13K | 16.25% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM INSURANCE COMPANY | $5K | $718 | $5K | 12.14% |
| HODGES-MACE BENEFITS GRP INC3 Filed as: HODGES-MACE BENEFITS GROUP | 3350 RIVERWOOD PARKWAY ATLANTA, GA 30339 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM LIFE INSURANCE | $226 | — | $226 | 12.18% |
| HODGES-MACE BENEFITS GRP INC3 Filed as: HODGES-MACE BENEFITS GROUP | 3350 RIVERWOOD PARKWAY ATLANTA, GA 30339 | UNUM LIFE INSURANCE | $93 | — | $93 | 8.65% |
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 | 1,321 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,321 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,186 | $304K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE | 1,415 | $1.1M |
| Long-term disability | UNUM LIFE INSURANCE | 1,415 | $778K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,696 | $2.2M |
| Other(8 contracts, 4 carriers) | UNUM LIFE INSURANCE | 1,415 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,696 | — |
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.