| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 770 KENMOOR AVE SE SUITE 300 GRAND RAPIDS, MI 49546 | BLUECROSS BLUESHIELD OF ILLINOIS | $51K | $3K | $54K | 3.44% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PRESIDIO | 55 SHUMAN BLVD, STE 900 NAPERVILLE, IL 60563 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | $1K | $14K | 17.16% |
| ACRISURE LLC3 | 2625 W PETERSON AVE CHICAGO, IL 60659 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $389 | $389 | 0.49% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PRESIDIO | 55 SHUMAN BLVD, SUITE 900 NAPERVILLE, IL 60563 | EYEMED | $1K | $0 | $1K | 9.97% |
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 | 97 | 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) | 97 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 199 | $1.6M |
| Dental | BLUECROSS BLUESHIELD OF ILLINOIS | 199 | $1.6M |
| Vision | EYEMED | 204 | $10K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 171 | $79K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 171 | $79K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 171 | $79K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 171 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 204 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.