| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 1000 E WARRENVILLE RD STE 101 NAPERVILLE, IL 60563 | BLUECROSS BLUESHIELD OF ILLINOIS | $59K | $864 | $60K | 3.87% |
| ACRISURE LLC3 Filed as: ACRISURE DBA WINE SERGI INS | 1000 E WARRENVILLE RD STE 101 NAPERVILLE, IL 60563 | UNION SECURITY INSURANCE COMPANY | $3K | $1K | $5K | 3.66% |
| ACRISURE LLC3 | 55 SHUMAN BLVD STE 900 NAPERVILLE, IL 60563 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 7.18% |
| WINE SERGI & CO LLC3 | 1000 E WARRENVILLE RD SUITE 101 NAPERVILLE, IL 60563 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 1.50% |
| ACRISURE LLC3 | 1000 E WARRENVILLE RD STE 101 NAPERVILLE, IL 60563 | VISION SERVICE PLAN | $761 | — | $761 | 5.31% |
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 | 209 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 204 | $1.6M |
| Dental | UNION SECURITY INSURANCE COMPANY | 118 | $125K |
| Vision | VISION SERVICE PLAN | 162 | $14K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 209 | $100K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 209 | $100K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 209 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.