| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF MINNESOTA | $2K | $0 | $2K | 2.89% |
| ACRISURE LLC3 Filed as: ACRISURE MIDWEST PARTNERS INS SVCS | 16805 WEST CLEVELAND AVENUE NEW BERLIN, WI 53151 | DELTA DENTAL OF MINNESOTA | $1K | $0 | $1K | 2.70% |
| ELLERBROCK-NORRIS HEALTH & WELLNESS3 | PO BOX 816 HASTINGS, NE 68902 | DELTA DENTAL OF MINNESOTA | $309 | $0 | $309 | 0.59% |
| CRYSTAL LYNN JONES3 | 303 SOUTH 197TH AVENUE BUCKEYE, AZ 85326 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $899 | $1K | $2K | 8.41% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | UNKNOWN OKLAHOMA CITY, OK 73102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $479 | $2K | 8.08% |
| THOMAS LEE NICHOLS3 | 3671 STONEBROOK DRIVE NORMAN, OK 73072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $221 | $1K | $1K | 5.45% |
| DANA MARIE MOWATT3 Filed as: DANA MARIE MOWATT & OTHER AGENTS | 23701 SOUTH WESTERN AVENUE SPC 112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $777 | $238 | $1K | 4.30% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISOR & INS | 5057 KELLER SPRINGS ROAD ADDISON, TX 75001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $787 | $0 | $787 | 3.33% |
| NATIONAL ENROLLMENT PARTNERS LLC3 Filed as: NATIONAL ENROLLMENT PARTNERS, LLC | UNKNOWN CRANSTON, RI 02920 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $431 | $0 | $431 | 1.82% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $315 | $3 | $318 | 1.35% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISOR & INS | 5057 KELLER SPRINGS ROAD ADDISON, TX 75001 | VISION SERVICE PLAN | $512 | $0 | $512 | 8.22% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2150 SOUTH CENTRAL EXPRESSWAY SUITE 280 MCKINNEY, TX 75070 | VISION SERVICE PLAN | $107 | $0 | $107 | 1.72% |
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 | 84 | 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) | 84 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MINNESOTA | 122 | $52K |
| Vision | VISION SERVICE PLAN | 54 | $6K |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 53 | $24K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 53 | $24K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 53 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.