| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 100 SPECTRUM CENTER DRIVE IRVINE, CA 92618 | AETNA HEALTH OF CALIFORNIA, INC. | $43K | $0 | $43K | 5.23% |
| DKG INSURANCE & FINANCIAL SERVICES3 | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | AETNA HEALTH OF CALIFORNIA, INC. | $8K | $0 | $8K | 0.92% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 100 SPECTRUM CENTER DRIVE IRVINE, CA 92618 | AETNA LIFE INSURANCE CO. | $17K | $0 | $17K | 17.23% |
| DKG INSURANCE & FINANCIAL SERVICES3 | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | AETNA LIFE INSURANCE CO. | $924 | $0 | $924 | 0.92% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 2415 CAMPUS DRIVE, SUITE 200 IRVINE, CA 92618 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $5K | $12K | 14.79% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AND FIN. SVCS | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $3K | $4K | 4.34% |
| ACRISURE LLC3 | 2625 WEST PETERSON AVENUE CHICAGO, IL 60659 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $859 | $859 | 1.03% |
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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH OF CALIFORNIA, INC. | 181 | $916K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $84K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $84K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $84K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $84K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH OF CALIFORNIA, INC. | 181 | $916K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.