| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3 POLARIS WAY 4TH FLOOR ALISO VIEJO, CA 92656 | SUN LIFE ASSURANCE COMPANY OF CANADA | $129K | — | $129K | 9.39% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | SUN LIFE ASSURANCE COMPANY OF CANADA | $57K | — | $57K | 4.14% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS | INSURANCE SERVICES LLC 4000 WESTERLY PL, SUITE 110 NEWPORT BEACH, CA 92660 | SUN LIFE ASSURANCE COMPANY OF CANADA | $12K | — | $12K | 0.86% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $3K | $3K | 0.19% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 0.93% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING ST PASO ROBLES, CA 93446 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 0.90% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 0.90% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 0.94% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING ST PASO ROBLES, CA 93446 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 0.91% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 0.91% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61K | — | $61K | 20.29% |
| TRACEY HINRICHS3 Filed as: TRACEY HINRICKS | 55 MIDWAY ISLAND CLEARWATER, FL 33767 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27K | — | $27K | 9.02% |
| THERESA GOMEZ3 Filed as: THERESA ESCALERA GOMEZ | 9815 STEELHEAD RD PASO ROBLES, CA 93446 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14K | — | $14K | 4.51% |
| ENROLLMENT BENEFIT CONCEPTS LLC3 Filed as: ENROLLMENT BENEFIT CONCEPTS, LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 3.92% |
| KAREN ANNETTE WILSON3 | 919 SAINT ANN DR PASO ROBLES, CA 93446 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9K | — | $9K | 3.01% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | FIRST STOP HEALTH, LLC | $17K | — | $17K | 9.57% |
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 | 2,301 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 204 | $1.6M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,002 | $1.4M |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,002 | $1.4M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,002 | $1.4M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,002 | $1.4M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,002 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,002 | — |
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.