| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | SERVICES LLC 1920 MAIN ST IRVINE, CA 92614 | AETNA HEALTH, INC. | $34K | — | $34K | 2.94% |
| STAHL & ASSOCIATES INSURANCE INC.3 Filed as: STAHL AND ASSOC INSURANCE | 110 CARILLON PARKWAY ST PETERSBURG, FL 33716 | AETNA HEALTH, INC. | $23K | — | $23K | 1.97% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | SERVICES LLC 1920 MAIN ST IRVINE, CA 92614 | AETNA LIFE INSURANCE CO. | $29K | — | $29K | 3.48% |
| STAHL & ASSOCIATES INSURANCE INC.3 Filed as: STAHL AND ASSOC INSURANCE | 110 CARILLON PARKWAY ST PETERSBURG, FL 33716 | AETNA LIFE INSURANCE CO. | $20K | — | $20K | 2.43% |
| STAHL & ASSOCIATES INSURANCE INC.3 Filed as: STAHL & ASSOCIATES INS INC | 110 CARILLON PARKWAY SAINT PETERSBURG, FL 33716 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 6.18% |
| ACRISURE LLC3 Filed as: SULLIVAN, CURTIS, MONROE INS SVC | 1920 MAIN ST STE 600 IRVINE, CA 92614 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 4.69% |
| ACRISURE LLC3 Filed as: SULLIVAN, CURTIS, MONROE | PO BOX 19763 IRVINE, CA 92623 | EYEMED VISION CARE | $1K | — | $1K | 4.83% |
| ACRISURE LLC3 Filed as: SULLIVAN, CURTIS, MONROE | 110 CARILLON PKWY SAINT PETERSBURG, FL 33716 | EYEMED VISION CARE | $443 | — | $443 | 1.88% |
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 | 492 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 492 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 383 | $2.0M |
| Dental | AETNA LIFE INSURANCE CO. | 383 | $821K |
| Vision | EYEMED VISION CARE | 270 | $24K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 492 | $39K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 492 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 492 | — |
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.