| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 104 CRANDON BOULEVARD SUITE 309 KEY BISCAYNE, FL 33149 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $63K | $0 | $63K | 18.83% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 104 CRANDON BOULEVARD SUITE 309 KEY BISCAYNE, FL 33149 | SOLSTICE BENEFITS, INC. | $14K | $0 | $14K | 10.00% |
| FMLASOURCE INC5 Filed as: FMLASOURCE, INC. | 455 NORTH CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 8.69% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 9500 SOUTH DADELAND BOULEVARD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $3K | $4K | 6.74% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $216 | $0 | $216 | 0.33% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 9500 SOUTH DADELAND BOULEVARD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 9.63% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $377 | $0 | $377 | 0.99% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 9500 SOUTH DADELAND BOULEVARD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 11.08% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $564 | $0 | $564 | 1.50% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 9500 SOUTH DADELAND BOULEVARD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $5K | 18.12% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $719 | $0 | $719 | 2.76% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC. | 9500 SOUTH DADELAND BOULEVARD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 13.39% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $214 | $0 | $214 | 0.90% |
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 | 286 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 287 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 182 | $336K |
| Dental | SOLSTICE BENEFITS, INC. | 313 | $139K |
| Vision | SOLSTICE BENEFITS, INC. | 313 | $139K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 286 | $61K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 289 | $91K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $38K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 182 | $336K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 286 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 313 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.