| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA HNI RISK SERVICES | 16806 W CLEVELAND AVE NEW BERLIN, WI 53151 | HUMANA WISCONSIN HEALTH ORGANIZATION INS CORP | $32K | — | $32K | 2.50% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA HNI RISK SERVICES | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | — | $15K | 14.91% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 4.56% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GARCEAU INSURANCE | AGENCY PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.59% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA RELIANCE INS GROUP | 2163 UNIVERSITY PARK DR, STE 200 OKEMOS, MI 48864 | METROPOLITAN LIFE INSURANCE COMPANY | — | $50 | $50 | 0.05% |
| ACRISURE LLC3 Filed as: ACRISURE LLC. | PO BOX 51187 NEW BERLIN, WI 53151 | DELTA DENTAL OF WISCONSIN | $5K | — | $5K | 5.78% |
| ACRISURE LLC3 Filed as: ACRISURE LLC. | PO BOX 51187 NEW BERLIN, WI 53151 | WYSSTA INSURANCE COMPANY INC | $1K | — | $1K | 7.97% |
| IBENEFIT COMMUNICATION LLC3 | 4400 PARK RD STE 311 CHARLOTTE, NC 28209 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 7.42% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | METROPOLITAN LIFE INSURANCE COMPANY | $886 | — | $886 | 6.32% |
| ACRISURE LLC3 Filed as: ACRISURE LLC D/B/A HNI RISK SERVICE | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | METROPOLITAN LIFE INSURANCE COMPANY | $640 | — | $640 | 4.56% |
| ACRISURE LLC3 Filed as: ACRISURE LLC D/B/A GARCEAU INSURANC | PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $154 | $154 | 1.10% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA RELIANCE INS GROUP | 2163 UNIVERSITY PARK DR STE 200 OKEMOS, MI 48864 | METROPOLITAN LIFE INSURANCE COMPANY | — | $7 | $7 | 0.05% |
| IBENEFIT COMMUNICATION LLC3 | 4400 PARK RD STE 311 CHARLOTTE, NC 28209 | METROPOLITAN LIFE INSURANCE COMPANY | $846 | — | $846 | 7.08% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | METROPOLITAN LIFE INSURANCE COMPANY | $728 | — | $728 | 6.10% |
| ACRISURE LLC3 Filed as: ACRISURE LLC D/B/A HNI RISK SERVICE | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | METROPOLITAN LIFE INSURANCE COMPANY | $564 | — | $564 | 4.72% |
| ACRISURE LLC3 Filed as: ACRISURE LLC D/B/A GARCEAU INSURANC | PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $102 | $102 | 0.85% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA RELIANCE INS GROUP | 2163 UNIVERSITY PARK DR STE 20 OKEMOS, MI 48864 | METROPOLITAN LIFE INSURANCE COMPANY | — | $6 | $6 | 0.05% |
| IBENEFIT COMMUNICATION LLC3 | 4400 PARK RD STE 311 CHARLOTTE, NC 28209 | METROPOLITAN LIFE INSURANCE COMPANY | $808 | — | $808 | 9.67% |
| ACRISURE LLC3 Filed as: ACRISURE LLC D/B/A HNI RISK SERVICE | 16805 W CLEVELAND AVE NEW BERLIN, WI 53151 | METROPOLITAN LIFE INSURANCE COMPANY | $539 | — | $539 | 6.45% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | METROPOLITAN LIFE INSURANCE COMPANY | $370 | — | $370 | 4.43% |
| ACRISURE LLC3 Filed as: ACRISURE LLC D/B/A GARCEAU INS | PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $68 | $68 | 0.81% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA RELIANCE INS GROUP | 2163 UNIVERSITY PARK DR STE 200 OKEMOS, MI 48864 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4 | $4 | 0.05% |
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 | 130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA WISCONSIN HEALTH ORGANIZATION INS CORP | 119 | $1.3M |
| Dental | DELTA DENTAL OF WISCONSIN | 130 | $87K |
| Vision | WYSSTA INSURANCE COMPANY INC | 122 | $16K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 273 | $101K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 273 | $101K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 273 | $101K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 273 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 273 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.