| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE | 2965 ALTERNATE 19 PALM HARBOR, FL 34683 | BLUE CROSS BLUE SHIELD OF FLORIDA | $44K | $0 | $44K | 4.00% |
| ACRISURE LLC3 | 2965 ALT 19 PALM HARBOR, FL 34683 | BLUE CROSS BLUE SHIELD OF FLORIDA | $8K | $0 | $8K | 4.00% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC DBA ALLTRUST | 5664 PRARIE CREEK DRIVE SE CALEDONIA, MI 49316 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $20 | $5K | 5.10% |
| ACRISURE LLC3 Filed as: ACRISURE DBA HEAD CAPITAL ADVISORS | P.O. BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.52% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRARIE CREEK DRIVE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 13.29% |
| BRAYBOY & ASSOCIATES D/B/A ALLTRUST3 Filed as: BRAYBOY & ASSOCIATES BDA ALLTRUST | 2965 ALTERNATE 19 N PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $334 | $334 | 0.75% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRARIE CREEK DRIVE CALEDONIA, ME 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $5K | 14.97% |
| ALLTRUST INSURANCE3 | 2965 ALTERNATE 19 N PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $351 | $351 | 0.97% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRARIE CREEK DRIVE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 14.85% |
| ALLTRUST INSURANCE3 | 2965 ALT 19 N PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $230 | $230 | 0.91% |
| ACRISURE LLC3 Filed as: ACRISURE | 5664 PRARIE CREEK DRIVE CALEDONIA, ME 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $868 | $2K | 15.36% |
| ALLTRUST INSURANCE3 | 2965 ALT 19 PALM HARBOR, FL 34683 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $176 | $176 | 1.09% |
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 | 149 | 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) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS BLUE SHIELD OF FLORIDA | 117 | $1.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 336 | $97K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 336 | $97K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $44K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 75 | $25K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $36K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF FLORIDA | 117 | $1.1M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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.