| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA | ALLTRUST INSURANCE 5411 SKY CENTER DR, STE 600 TAMPA, FL 33607 | HEALTH OPTIONS | $56K | — | $56K | 3.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA | ALLTRST INSURANCE 5411 SKY CENTER DR, STE 600 TAMPA, FL 33607 | BLUE CROSS BLUE SHIELD OF FLORIDA | $4K | — | $4K | 3.35% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $644 | $10K | 10.69% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $1K | $7K | 11.79% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $860 | $6K | 11.72% |
| ADP INC3 Filed as: AUTOMATIC DATA PROCESSING INC | PO BOX 842875 BOSTON, MA 02284 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $700 | $700 | 1.40% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $341 | $2K | 11.70% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $240 | $2K | 11.54% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $216 | $1K | 11.72% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $84 | $2K | 20.93% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $135 | $2K | 21.65% |
| ACRISURE LLC3 | 9500 S DADELAND BLVD MIAMI, FL 33156 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $970 | $64 | $1K | 21.33% |
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 | 175 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 175 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS | 135 | $2.0M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 136 | $94K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 126 | $16K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 175 | $33K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 175 | $59K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 175 | $50K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS | 135 | $2.0M |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 175 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 175 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.