| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | DELTA DENTAL OF NORTH CAROLINA | $12K | — | $12K | 9.83% |
| ACRISURE LLC3 | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | — | $11K | 10.07% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $6K | $6K | 5.00% |
| ACRISURE LLC Filed as: ACRISURE TEXAS RISK ADVISORS | INS SERVCES, LLC 5057 KELLER SPRINGS RD, SUITE 200 ADDISON, TX 75001 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 3.31% |
| ACRISURE LLC3 | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 21.31% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $1K | $1K | 4.94% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS | INSURANCE SERVICES, LLC 5057 KELLER SPRINGS RD, SUITE 200 ADDISON, TX 75001 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 4.48% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA | GDP ADVISORS 2150 S. CENTRAL EXPRESSWAY STE. 280 MCKINNEY, TX 75070 | EYEMED VISION CARE | $1K | — | $1K | 8.38% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS ROAD SUITE 200 ADDISON, TX 75001 | EYEMED VISION CARE | $240 | — | $240 | 1.60% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NORTH CAROLINA | 298 | $122K |
| Vision | EYEMED VISION CARE | 104 | $15K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 156 | $110K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 156 | $110K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 156 | $110K |
| Other(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 156 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.