| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2965 ALT 19 PALM HARBOR, FL 34683 | BLUE CROSS BLUE SHIELD OF FLORIDA | $52K | — | $52K | 4.00% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 2965 ALT 19 PALM HARBOR, FL 34683 | HEALTH OPTIONS, INC | $13K | — | $13K | 4.00% |
| ACRISURE LLC3 | 2001 MARCUS AVE LAKE SUCCESS, NY 11042 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 9.13% |
| ACRISURE LLC3 | SOUTH FLORIDA PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.47% |
| ACRISURE LLC3 | SOUTH FLORIDA PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 9.00% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.46% |
| ACRISURE LLC3 | SOUTH FLORIDA PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.71% |
| ACRISURE LLC3 | SOUTH FLORIDA PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.44% |
| ALLTRUST INSURANCE3 Filed as: ALLTRUST INSURANCE INC | 2965 ALT 19 NORTH PALM HARBOR, FL 34683 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 11.21% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | ALLTRUST INSURANCE 2965 ALT 19 PALM HARBOR, FL 34683 | METLIFE LEGAL PLANS OF FLORIDA | $328 | $63 | $391 | 8.28% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC DBA | EMPLOYEE BENEFIT SERVICES 489 SEMINOLE ROAD MUSKEGON, MI 49444 | METLIFE LEGAL PLANS OF FLORIDA | — | $136 | $136 | 2.88% |
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 | 159 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 118 | $1.6M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 125 | $84K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 125 | $84K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 159 | $41K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 69 | $24K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 159 | $43K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 118 | $1.6M |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 159 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 159 | — |
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.