| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5482 WILSHIRE BLVD STE 1566 LOS ANGELES, CA 90036 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $59K | $458K | $516K | 5.64% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5482 WILSHIRE BLVD STE 1566 LOS ANGELES, CA 90036 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $40K | $324K | $364K | 5.61% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5482 WILSHIRE BLVD STE 1566 LOS ANGELES, CA 90036 | HARTFORD LIFE AND ACCIDENT | — | $271K | $271K | 5.11% |
| NATIONAL ACCOUNT SERVICES3 Filed as: NATIONAL ACCOUNT SERVICES INC | 11111 SANTA MONICA BLVD LOS ANGELES, CA 90025 | HARTFORD LIFE AND ACCIDENT | — | $28K | $28K | 3.88% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5482 WILSHIRE BLVD STE 1566 LOS ANGELES, CA 90036 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $150 | $815 | $965 | 5.92% |
| NATIONAL ACCOUNT SERVICES3 Filed as: NATIONAL ACCOUNT SERVICES INC. | 11111 SANTA MONICA BLVD LOS ANGELES, CA 90025 | HARTFORD LIFE AND ACCIDENT | — | $428 | $428 | 9.61% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5482 WILSHIRE BLVD STE 1566 LOS ANGELES, CA 90036 | HARTFORD LIFE AND ACCIDENT | $223 | — | $223 | 5.01% |
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 | 26,465 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 235 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 26,700 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 804 | $9.1M |
| Vision | VISION SERVICE PLAN | 19,868 | $2.7M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 26,686 | $5.3M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 25,709 | $9.2M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 25,595 | $6.5M |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 804 | $4.6M |
| Other(4 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 26,686 | $5.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,686 | — |
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.