| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | DBA WINE SERGI COMPANY 1000 E. WARRENVILLE RD, STE 101 NAPERVILLE, IL 60563 | BLUECROSS BLUESHIELD OF ILLINOIS | $52K | $1K | $53K | 3.93% |
| ACRISURE LLC3 | DBA WINE SERGI COMPANY 1000 E. WARRENVILLE RD., SUITE 101 NAPERVILLE, IL 60563 | DELTA DENTAL OF ILLINOIS | $7K | — | $7K | 7.41% |
| ACRISURE LLC3 | DBA WINE SERGI COMPANY 1000 E WARRENVILLE RD., STE 101 NAPERVILLE, IL 60563 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $233 | $5K | 12.13% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA WINE SERGI & | COMPANY 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 13.83% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA WINE SERGI & | COMPANY 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $18 | $2K | 15.12% |
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 | 196 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 196 | $1.4M |
| Dental | DELTA DENTAL OF ILLINOIS | 116 | $98K |
| Vision | VISION SERVICE PLAN | 109 | $10K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 141 | $56K |
| Short-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 141 | $63K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 141 | $63K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 141 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.