| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | ATTN ACCOUNTING-WEST 1 PO BOX 1788 GRAND RAPIDS, MI 49501 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $17K | — | $17K | 5.00% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST., STE 100 DENVER, CO 80202 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $17K | — | $17K | 4.82% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 10531 4S COMMONS DR STE 166-516 SAN DIEGO, CA 921273517 | KAISER FOUNDATION HEALTH PLAN, INC. | $8K | — | $8K | 2.92% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST, STE 100 DENVER, CO 802021260 | KAISER FOUNDATION HEALTH PLAN, INC. | $5K | — | $5K | 2.05% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA ELT INSURANCE SERVICES LLC PO BOX 1788 GRAND RAPIDS, MI 495011788 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 6.92% |
| IMA, INC.3 Filed as: IMA INC | P.O. BOX 2992 WICHITA, IN 672012992 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $3 | $3K | 4.23% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 9655 GRANITE RIDGE DR STE 500 SAN DIEGO, CA 921232676 | METROPOLITAN LIFE INSURANCE COMPANY | — | $588 | $588 | 0.79% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 16835 W BERNARDO DR STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 5.76% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST., STE 100 DENVER, CO 80202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 3.29% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 16835 W BERNARDO DR STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 9.19% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST., STE 100 DENVER, CO 80202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 4.80% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 16835 W BERNARDO DR STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 9.19% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST., STE 100 DENVER, CO 80202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $968 | — | $968 | 4.74% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA ELT INSURANCE SERVICES LLC PO BOX 1788 GRAND RAPIDS, MI 495011788 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 15.67% |
| IMA, INC.3 Filed as: IMA INC | P.O. BOX 2992 WICHITA, KS 672012992 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.62% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 9655 GRANITE RIDGE DR STE 500 SAN DIEGO, CA 921232676 | METROPOLITAN LIFE INSURANCE COMPANY | — | $185 | $185 | 1.10% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA ELT INSURANCE SERVICES LLC PO BOX 1788 GRAND RAPIDS, MI 495011788 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 13.76% |
| IMA, INC.3 Filed as: IMA INC | PO BOX 2992 WICHITA, KS 672012992 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 7.26% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 9655 GRANITE RIDGE DR STE 500 SAN DIEGO, CA 921232676 | METROPOLITAN LIFE INSURANCE COMPANY | — | $130 | $130 | 0.82% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 16835 W BERNARDO DR STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $707 | — | $707 | 5.49% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST., STE 100 DENVER, CO 80202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $437 | — | $437 | 3.39% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | DBA ELT INSURANCE SERVICES LLC PO BOX 1788 GRAND RAPIDS, MI 495011788 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 14.05% |
| IMA, INC.3 Filed as: IMA INC | P.O. BOX 2992 WICHITA, KS 672012992 | METROPOLITAN LIFE INSURANCE COMPANY | $838 | — | $838 | 7.01% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 9655 GRANITE RIDGE DR STE 500 SAN DIEGO, CA 921232676 | METROPOLITAN LIFE INSURANCE COMPANY | — | $103 | $103 | 0.86% |
| IMA, INC.3 Filed as: IMA INC | 1705 17TH ST STE 100 DENVER, CO 80202 | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $342 | — | $342 | 4.59% |
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 | 291 | 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) | 291 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 45 | $266K |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 288 | $356K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 695 | $74K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 411 | $57K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 56 | $28K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 80 | $20K |
| Other(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 411 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 695 | — |
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.