| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA INSOURCE, INC | 9500 S. DADELAND BLVD. MIAMI, FL 33516 | AETNA LIFE INSURANCE CO. | $16K | — | $16K | 0.41% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | C/O BANK OF AMERICA ATLANTA, GA 30374 | AETNA LIFE INSURANCE CO. | — | $12K | $12K | 0.30% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD STE 400 MIAMI, FL 33156 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $20K | — | $20K | 10.30% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHEAST PTR INS SVCS | 1317 CITIZENS BLVD LEESBURG, FL 34748 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $9K | — | $9K | 4.70% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $421 | $421 | 0.22% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD STE 400 MIAMI, FL 33156 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | — | $11K | 10.43% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHEAST PTR INS SVCS | 1317 CITIZENS BLVD LEESBURG, FL 34748 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 4.57% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $235 | $235 | 0.21% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD STE 400 MIAMI, FL 33156 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 10.41% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHEAST PTR INS SVCS | 1317 CITIZENS BLVD LEESBURG, FL 34748 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 4.59% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $111 | $111 | 0.23% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 6000 FEILDWOOD ROAD COLLEGE PARK, GA 30349 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 8.44% |
| DSM FINANCIAL LLC3 | 950 PENINSULA CORPORATE CIRCLE SUITE 3007 BOCA RATON, FL 33487 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 3.75% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA INSOURCE | 9500 S DADELAND BLVD STE 400 MIAMI, FL 33156 | TRANSAMERICA LIFE INSURANCE COMPANY | $312 | — | $312 | 0.67% |
| EXCELSIOR BENEFITS LLC3 | 441 2ND STREET EXCELSIOR, MN 55331 | TRANSAMERICA LIFE INSURANCE COMPANY | $97 | — | $97 | 0.21% |
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 | 182 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 398 | $4.0M |
| Dental | AETNA LIFE INSURANCE CO. | 398 | $3.9M |
| Vision | AETNA LIFE INSURANCE CO. | 398 | $3.9M |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $49K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 152 | $110K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 130 | $194K |
| Prescription drug | AETNA LIFE INSURANCE CO. | 398 | $3.9M |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 113 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 398 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.