| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | HEALTH NET | $48K | — | $48K | 4.94% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | PREMIER ACCESS INSURANCE COMPANY | $3K | — | $3K | 3.93% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $662 | $3K | 13.31% |
| MARSH & MCLENNAN AGENCY LLC3 | 4703 E. CAMP LOWELL, SUITE 101 TUCSON, AZ 85712 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $414 | $2K | 8.32% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | PO BOX 19763 IRVINE, CA 92623 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | — | $1K | 9.97% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $339 | $1K | 12.34% |
| MARSH & MCLENNAN AGENCY LLC3 | 4703 E. CAMP LOWELL, SUITE 101 TUCSON, AZ 85712 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $632 | $211 | $843 | 7.66% |
| MARSH & MCLENNAN AGENCY LLC3 | 7202 E. ROSEWOOD, SUITE 200 TUCSON, AZ 857512702 | TRANSAMERICA LIFE INSURANCE COMPANY | $746 | — | $746 | 13.60% |
| PARAGON PARTNERS LTD3 Filed as: PARAGON PARTNERS LIMITED | 9420 E. DOUBLETREE RANCH ROAD SUITE C-103 SCOTTSDALE, AZ 85258 | TRANSAMERICA LIFE INSURANCE COMPANY | $160 | — | $160 | 2.92% |
| ACRISURE LLC3 Filed as: ACRISURE OF CA LLC | 2339 N. CAREFREE CIRCLE FLAGSTAFF, AZ 86004 | TRANSAMERICA LIFE INSURANCE COMPANY | $83 | — | $83 | 1.51% |
| WESTBROOK FINANCIAL SERVICES3 | 7425 E. STETSON DRIVE SCOTTSDALE, AZ 85251 | TRANSAMERICA LIFE INSURANCE COMPANY | $54 | — | $54 | 0.98% |
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 | 275 | 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) | 275 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HEALTH NET | 150 | $1.1M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 238 | $78K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 183 | $13K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 36 | $20K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 18 | $11K |
| Prescription drug(3 contracts, 3 carriers) | HEALTH NET | 150 | $1.1M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 36 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 238 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.