| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAL, TX 75077 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $22K | $33K | 7.50% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | $10K | $15K | 7.50% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAL, TX 75077 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $5K | $7K | 7.50% |
| DWIGHT L PIERCE3 | BENEFIT TECHNOLOGIES - DIV 15 20 WIGHT AVE STE 160 COCKEYSVILLE, MD 21030 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $261 | — | $261 | 0.37% |
| EIDSON, DARELL, LAWAYNE3 | 246 IVERNESS CTR DR BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $236 | — | $236 | 0.33% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH DBA WORKSITE BENEFIT | 22 IVERNESS CENTER PKWY STE 100 BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $213 | — | $213 | 0.30% |
| HERRING, RICHARD, FULLER3 | 246 IVERNESS CENTER DR BIRMINGHAM, AA 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $126 | — | $126 | 0.18% |
| LESLIE A SCHNEIDER3 | 3350 RIVERWOOD PARKWAY STE 600 ATLANTA, GA 30339 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.04% |
| VCG CONSULTANTS LLC3 | 999 PEACHTREE ST NE ATLANTA, GA 30309 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.03% |
| ACRISURE LLC3 Filed as: ACRISURE OF CLAIFORNIA | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | LIFE INSURANCE COMPANY OF NORTH AMERICA | -$138 | $3K | $3K | 5.00% |
| ACRISURE LLC3 | 3350 RIVERWOOD PARKWAY SUITE 600 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $217 | $7K | 20.81% |
| DWIGHT L PIERCE3 | BENEFITS TECHNOLOGIES - DIV 15 20 WIGHT AVE STE 160 COCKEYSVILLE, MD 21030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $485 | — | $485 | 1.55% |
| VCG CONSULTANTS LLC3 | 999 PEACHTREE STREET NE SUITE 1500 ATLANTA, GA 30309 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $208 | — | $208 | 0.66% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH DBA WORKSITE BENEFIT | 22INVERNESS CENTER PKWY STE 100 BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $122 | — | $122 | 0.39% |
| JAMES W. MOORADIAN3 Filed as: JAMES W MOORADIAN | 6 HIGHLAND RD CHARLESTOWN, RI 02813 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 12.59% |
| LESLIE A SCHNEIDER3 | 3350 RIVERWOOD PARKWAY SUITE 600 ATLANTA, GA 30339 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $969 | — | $969 | 3.54% |
| MARSH & MCLENNAN AGENCY LLC3 | 4401 NORTHSIDE PARKWAY #800 ATLANTA, GA 30327 | FEDERAL INSURANCE COMPANY | $2K | $132 | $2K | 16.27% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $219 | $219 | 5.01% |
| JAMES W. MOORADIAN3 Filed as: JAMES W MOORADIAN | 6 HIGHLAND ROAD CHARLESTOWN, RI 02813 | PROVIDENT LIFE AND ACCIDENT INSRUANCE COMPANY | $331 | $196 | $527 | 12.42% |
| LESLIE A SCHNEIDER3 | 3350 RIVERWOOD PARKWAY STE 600 ATLANTA, GA 30339 | PROVIDENT LIFE AND ACCIDENT INSRUANCE COMPANY | $175 | — | $175 | 4.12% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | — | $1 | $1 | 4.17% |
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 | 1,897 | 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) | 1,897 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HMSA | 11 | $163K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,897 | $445K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,897 | $51K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,888 | $196K |
| Other(9 contracts, 6 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,281 | $240K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,281 | — |
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.