| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 3 POLARIS WAY FL 4 ALISO VIEJO, CA 92656 | UNITED HEALTHCARE INSURANCE COMPANY | $28K | — | $28K | 3.06% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SVCS INC | 110 W A STREET, SUITE 725 SAN DIEGO, CA 92101 | UNITED HEALTHCARE INSURANCE COMPANY | $22K | — | $22K | 2.38% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP | 2251 DOUGLAS BLVD, SUITE 115 ROSEVILLE, CA 95661 | UNITED HEALTHCARE INSURANCE COMPANY | $10K | — | $10K | 1.14% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD, SUITE 140 SANTA ANA, CA 92704 | MEDIEXCEL HEALTH PLAN | $10K | — | $10K | 3.31% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SVCS INC | 110 W A STREET, SUITE 725 SAN DIEGO, CA 92101 | MEDIEXCEL HEALTH PLAN | $5K | — | $5K | 1.81% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SVCS INC | 110 W A STREET, SUITE 725 SAN DIEGO, CA 92101 | UNITED HEALTHCARE INSURANCE COMPANY | $10K | — | $10K | 16.93% |
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 | 265 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 267 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 217 | $1.2M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 217 | $914K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 217 | $914K |
| Life insurance | UNITED HEALTHCARE INSURANCE COMPANY | 265 | $60K |
| Prescription drug(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 217 | $1.2M |
| Other | UNITED HEALTHCARE INSURANCE COMPANY | 265 | $60K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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.