| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITEDHEALTHCARE INSURANCE COMPANY | $66K | — | $66K | 4.13% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFITS GROUP INC-CA | 669 RIVER DRIVE CENTER II STE 305 ELMWOOD PARK, NJ 07407 | UNITEDHEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 0.79% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 1615 MURRAY CANYON RD STE 1050 SAN DIEGO, CA 92108 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $1K | $16K | 10.26% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC | 2502 N ROCKY POINT DR STE 310 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $1K | $8K | 5.58% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA DBA AHERN | 16835 W BERNARDO DR STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $24K | — | $24K | 16.18% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | -$2K | — | -$2K | -1.18% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA AHERN INS 16835 W BERNARDO DR, STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 16.27% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC DBA | ELT INSURANCE 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | -$811 | — | -$811 | -1.27% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC DBA | AHERN INS 16835 BERNARDO DR, STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 16.09% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | -$247 | — | -$247 | -1.09% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC DBA | AHERN INS 16835 W BERNARDO DR, STE 212 SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 16.24% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA ELT INSURANCE 100 OTTAW AVE SW GRAND RAPIDS, MI 49503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | -$98 | — | -$98 | -1.23% |
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 | 92 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 172 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 257 | $151K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 257 | $151K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 209 | $149K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 13 | $23K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 111 | $64K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 205 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 257 | — |
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.