| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 28202 CABOT ROAD, SUITE 600 LAGUNA NIGUEL, CA 92677 | AETNA HEALTH, INC. | $31K | — | $31K | 4.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INSURANCE | 721 S. PARKER, SUITE 300 ORANGE, CA 92868 | AETNA HEALTH, INC. | $8K | — | $8K | 1.02% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 3 POLARIS WAY ALISO VIEJO, CA 92656 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 14.84% |
| ENROLLEASE3 | 7979 OLD GEORGETOWN ROAD BETHESDA, MD 20814 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 2.02% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 28202 CABOT ROAD, SUITE 600 LAGUNA NIGUEL, CA 92677 | AETNA LIFE INSURANCE COMPANY | $3K | — | $3K | 4.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INSURANCE | 721 S. PARKER, SUITE 300 ORANGE, CA 92868 | AETNA LIFE INSURANCE COMPANY | $711 | — | $711 | 1.05% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3 POLARIS WAY ALISO VIEJO, CA 92656 | SAFEGUARD HEALTH PLANS, INC. | $678 | — | $678 | 12.39% |
| ENROLLEASE3 | 7979 OLD GEORGETOWN ROAD BETHESDA, MD 20814 | SAFEGUARD HEALTH PLANS, INC. | — | $74 | $74 | 1.35% |
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 | 101 | 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) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 148 | $833K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 202 | $75K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 202 | $69K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 202 | $69K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 148 | $833K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 202 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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.