| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2150 S CENTRAL EXPRESSWAY SUITE 280 MCKINNEY, TX 75070 | RELIASTAR LIFE INSURANCE COMPANY | $138K | — | $138K | 32.42% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2150 S CENTRAL EXPRESSWAY SUITE 280 MCKINNEY, TX 75070 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $37K | $10K | $46K | 17.29% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2150 S CENTRAL EXPRESSWAY SUITE 280 MCKINNEY, TX 75070 | VISION SERVICE PLAN | $2K | — | $2K | 4.03% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS, LTD. | 12006 RIDGEMONT DRIVE URBANDALE, IA 50323 | VISION SERVICE PLAN | $2K | — | $2K | 4.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS LLC | 2150 S CENTRAL EXPRESSWAY SUITE 280 MCKINNEY, TX 75070 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 14.00% |
| MITCH BESVINICK3 | 1280 BRIGHTON WAY NEWTOWN SQUARE, PA 19073 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $505 | — | $505 | 4.98% |
| ACRISURE LLC3 | 14 E WELSH ROAD EXTON, PA 19604 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $93 | — | $93 | 0.92% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2150 S CENTRAL EXPRESSWAY SUITE 280 MCKINNEY, TX 750704071 | UNITEDHEALTHCARE INSURANCE COMPANY | $915 | — | $915 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN EIN 16-1264154 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $201K |
| THE LOOMIS COMPANY CLAIMS PROCESSING | Claims processing Service code 12 | 850 N. PARK ROAD WYOMISSING, PA 19610 | $172K |
| GDP ADVISORS EIN 46-3749464 BROKER | Insurance agents and brokers Service code 22 | — | $137K |
| MGU UNDERWRITING EIN 26-6943343 CLAIMS PROCESSING | Claims processing Service code 12 | — | $65K |
| FIRST HEALTH GROUP CORPORATION EIN 73-1590333 CLAIMS PROCESSING | Claims processing Service code 12 | — | $38K |
| TELADOC EIN 04-3705970 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $16K |
| MY WORK PLACE EIN 83-3465321 CLAIMS PROCESSING | Claims processing Service code 12 | — | $2K |
| NEW BENEFITS, LTD. CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 14240 PROTON ROAD DALLAS, TX 75244 | $297 |
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 | 2,164 | 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) | 2,164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 22 | $9K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 227 | $268K |
| Vision | VISION SERVICE PLAN | 150 | $42K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 227 | $268K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 227 | $268K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 227 | $268K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 169 | $868K |
| Other(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,019 | $695K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,019 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.