| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 9655 GRANITE RIDGE DRIVE, SUITE 500 SAN DIEGO, CA 92123 | CALIFORNIA PHYSICIANS' SERVICE | $7 | $65K | $65K | 5.26% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5664 PRAIRIE CREEK DR. CALDEDONIA, MI 49316 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 5.50% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5664 PRAIRIE CREEK DR. GLASER WEIL FINK HO, MI 49316 | KAISER FOUNDATION HEALTH PLAN INC | $16K | — | $16K | 5.53% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA DBA | AHERN-ELT INSURANCE 9655 GRANITE RIDGE DR, STE 500 SAN DIEGO, CA 92123 | PRINCIPAL LIFE INSURANCE COMPANY | $33K | — | $33K | 11.84% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA PATRIOT RISK INS 2415 CAMPUS DR, STE 200 IRVINE, CA 92612 | PRINCIPAL LIFE INSURANCE COMPANY | — | $12K | $12K | 4.32% |
| GARRY L JOHNSON & ASSOCIATES INC3 Filed as: GARRY L JOHNSON | 3850 E BASELINE RD STE 121 MESA, AZ 85206 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | — | $10K | 3.65% |
| BENEFITS MATCHMAKING LLC3 | DBA SULLIVAN 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | PRINCIPAL LIFE INSURANCE COMPANY | -$12 | — | -$12 | -0.00% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 9655 GRANITE RIDGE DRIVE SUITE 500 SAN DIEGO, CA 92123 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $36 | $1K | 13.31% |
| AHERN INSURANCE BROKERAGE3 Filed as: AHERN INSURANCE BROKERAGE, LLC | 9655 GRANITE RIDGE DR SAN DIEGO, CA 92123 | ZURICH AMERICAN INSURANCE COMPANY | $786 | — | $786 | 15.00% |
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 | 138 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 131 | $1.9M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $282K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $282K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $282K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $282K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $282K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 131 | $1.2M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 143 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 272 | — |
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.