| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS OF CALIFORNIA | $199K | — | $199K | 2.00% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INSURAN | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | BLUE CROSS OF CALIFORNIA | $69K | — | $69K | 0.70% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $43K | — | $43K | 2.99% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | DELTA DENTAL OF CALIFORNIA | $72K | — | $72K | 9.99% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3 POLARIS WAY STE 400 ALISO VIEJO, CA 92656 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 4.96% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3 POLARIS WAY 4TH FLOOR ALISO VIEJO, CA 92656 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $725 | — | $725 | 2.73% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | L.B.L. INSURANCE SERVICES, LLC 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | METLIFE LEGAL PLANS | $1K | — | $1K | 5.90% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON DUNNING SERIES OF LOCKTON C | P.O. BOX 123042 DEPT 3042 DALLAS, TX 75312 | METLIFE LEGAL PLANS | $1K | — | $1K | 5.64% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | ELT INSURANCE SERVICES, LLC 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | METLIFE LEGAL PLANS | — | $271 | $271 | 1.46% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | METLIFE LEGAL PLANS | — | $128 | $128 | 0.69% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC NORTHEAST SER | 76 BATTERSON PARK RD SUITE 3 FARMINGTON, CT 06032 | METLIFE LEGAL PLANS | — | $53 | $53 | 0.29% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | L.B.L. INSURANCE SERVICES, LLC 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | METROPOLITAN GENERAL INSURANCE COMPANY | $1K | — | $1K | 10.16% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $128 | $128 | 1.05% |
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 | 595 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 598 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,120 | $11.4M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,376 | $717K |
| Vision | VISION SERVICE PLAN | 495 | $85K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 589 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,376 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.