| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 200 NORTH WARNER ROAD SUITE 450A KING OF PRUSSIA, PA 19406 | DELTA DENTAL OF NJ, INC. | $236 | $0 | $236 | 0.22% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $426 | $3K | 5.81% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $20 | $3K | 5.52% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $780 | $780 | 1.65% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 200 NORTH WARNER ROAD, SUITE 450A KING OF PRUSSIA, PA 19406 | ARMADACARE | $300 | $0 | $300 | 0.89% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 1460 ROUTE 9 NORTH, SUITE 310 WOODBRIDGE, NJ 07095 | UNITEDHEALTHCARE INSURANCE COMPANY | $797 | $0 | $797 | 3.37% |
| MERCER HEALTH AND BENEFITS, LLC3 | PO BOX 13793 NEWARK, NJ 07188 | UNITEDHEALTHCARE INSURANCE COMPANY | $485 | $0 | $485 | 2.05% |
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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARMADACARE | 149 | $34K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF NJ, INC. | 323 | $143K |
| Vision(2 contracts, 2 carriers) | ARMADACARE | 149 | $57K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 146 | $47K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 146 | $47K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 146 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.