| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $160K | $71K | $231K | 8.98% |
| ACRISURE LLC3 Filed as: ACRISURE NE P INS SVS LLC | 10 RESEARCH PKWY STE 400 WALLINGFORD, CT 06492 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $15K | $6K | $21K | 0.82% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN | 346 SHELBURNE RD BURLINGTON, VT 05401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | -$140 | — | -$140 | -0.01% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM LIFE INSURANCE | $22K | — | $22K | 2.40% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM LIFE INSURANCE | $63K | — | $63K | 15.75% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | VISION SERVICE PLAN | $4K | — | $4K | 1.26% |
| ACRISURE LLC3 Filed as: ACRISURE NEW ENGLAND PARTNERS | 10 RESEARCH PKWY STE 400 WALLINGFORD, CT 06492 | VISION SERVICE PLAN | $3K | — | $3K | 1.00% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM INSURANCE COMPANY | $15K | — | $15K | 15.75% |
| ACRISURE LLC3 | 346 SHELBURNE RD BURLINGTON, VT 05401 | UNUM INSURANCE COMPANY | $6K | — | $6K | 11.84% |
| 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 NJ PARTNERS | 23 VREELAND RD STE 180 FLORHAM PARK, NJ 07932 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 40.00% |
| ACRISURE LLC3 Filed as: ACRISURE NEW ENGLAND PARTNERS | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | UNUM LIFE INSURANCE | $306 | — | $306 | 20.86% |
| 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 | 1,426 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,426 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,201 | $280K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE | 1,436 | $1.3M |
| Long-term disability | UNUM LIFE INSURANCE | 1,436 | $905K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,298 | $2.6M |
| Other(8 contracts, 4 carriers) | UNUM LIFE INSURANCE | 1,436 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,298 | — |
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.