| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 3560 LENOX ROAD NE, SUITE 3400 ATLANTA, GA 30326 | UNITEDHEALTHCARE INSURANCE COMPANY | $10K | $146K | $155K | 3.82% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITEDHEALTHCARE INSURANCE COMPANY | $14 | $600 | $614 | 0.02% |
| PEACHTREE BENEFIT GROUP INC3 | 3580 PIERCE DRIVE NORTHEAST SUITE 100 CHAMBLEE, GA 30341 | UNITEDHEALTHCARE INSURANCE COMPANY | -$13 | $0 | -$13 | -0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $423 | $9K | 8.66% |
| ACRISURE LLC3 Filed as: ACRISURE LLC PEACHTREE BENEFIT | 3580 PIERCE DRIVE, SUITE 100 CHAMBLEE, GA 30341 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1K | $1K | 1.08% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $253 | $8K | 12.52% |
| ACRISURE LLC3 Filed as: ACRISURE LLC PEACHTREE BENEFIT | 3580 PIERCE DRIVE, SUITE 100 CHAMBLEE, GA 30341 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $574 | $574 | 0.87% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $248 | $8K | 12.52% |
| ACRISURE LLC3 Filed as: ACRISURE LLC PEACHTREE BENEFIT | 3580 PIERCE DRIVE, SUITE 100 CHAMBLEE, GA 30341 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $576 | $576 | 0.89% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITEDHEALTHCARE INSURANCE COMPANY | $11K | $0 | $11K | 18.31% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC | PO BOX 4557 NEW YORK, NY 10249 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | $0 | $7K | 11.61% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $72 | $2K | 8.42% |
| ACRISURE LLC3 Filed as: ACRISURE LLC PEACHTREE BENEFIT | 3580 PIERCE DRIVE, SUITE 100 CHAMBLEE, GA 30341 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $163 | $163 | 0.87% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $269 | $9 | $278 | 13.13% |
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 | 208 | 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) | 208 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 595 | $4.1M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 595 | $4.1M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 595 | $4.1M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 208 | $102K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 208 | $65K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 208 | $66K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 595 | $4.1M |
| Other(3 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 268 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 595 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.