| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 3580 PIERCE DRIVE STE 100 CHAMBLEE, GA 30341 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $12K | $95K | $108K | 5.25% |
| ACRISURE LLC3 Filed as: ACRISURE SE PR INS SV INC | 1317 CITIZENS BLVD. LEESBURG, FL 34748 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $5K | $40K | $45K | 2.18% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 SUITE 1200 CONSHOHOCKEN, PA 19428 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | -$11 | -$99 | -$110 | -0.01% |
| ACRISURE LLC3 | 900 ASHWOOD PARKWAY STE 330 ATLANTA, GA 30338 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $30K | $2K | $32K | 10.75% |
| ACRISURE LLC3 | 900 ASHWOOD PARKWAY STE 330 ATLANTA, GA 30338 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $362 | $8K | 15.75% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 900 ASHWOOD PARKWAY STE 330 ATLANTA, GA 30338 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $144 | $3K | 10.31% |
| MARSH & MCLENNAN AGENCY LLC3 | 1 SOUTH JEFFERSON ST. ROANOKE, VA 24011 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $206 | $3K | 9.11% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 5909 PEACHTREE DUNWOODY RD. STE 800 ATLANTA, GA 30328 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $44 | $2K | 6.43% |
| ACRISURE LLC3 | 3580 PIERCE DR STE 100 CHAMBLEE, GA 30341 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $51 | $2K | 9.79% |
| MARSH & MCLENNAN AGENCY LLC3 | 1 SOUTH JEFFERSON ST ROANOKE, VA 24011 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $71 | $1K | 6.29% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNERS INSURANCE | CENTER 5909 PEACHTREE DUNWOODY RD, STE 800 ATLANTA, GA 30328 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $82 | — | $82 | 0.40% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 5909 PEACHTREE DUNWOODY RD. STE 800 ATLANTA, GA 30328 | FIRST UNUM LIFE INSURANCE COMPANY | $1K | $69 | $1K | 111.08% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 900 ASHWOOD PARKWAY STE 330 ATLANTA, GA 30338 | FIRST UNUM LIFE INSURANCE COMPANY | $617 | $31 | $648 | 62.97% |
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 | 259 | 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) | 259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 303 | $2.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 303 | $2.0M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 303 | $2.0M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 259 | $344K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 259 | $296K |
| Other(5 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 259 | $395K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 303 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.