| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SIMON, BRANDON J3 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS OF IDAHO | $16K | — | $16K | 1.28% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE MURRAY GROUP | SIMON, BRANDON J 330 E LAKESIDE AVE STE 301 COEUR D ALENE, ID 83814 | REGENCE BLUESHIELD OF IDAHO, INC. | $9K | $750 | $10K | 1.95% |
| PROFESSIONAL BNFT CONSULTANTS3 | 7525 SE 24TH ST STE 350 MERCER ISLAND, WA 98040 | STANDARD INSURANCE COMPANY | $26K | — | $26K | 24.84% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA THE MURRAY GROUP | 330 E LAKESIDE AVE STE 301 COEUR D ALENE, ID 83814 | DELTA DENTAL OF IDAHO | $2K | — | $2K | 2.51% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS | INSURANCE SERVICES, LLC 2929 W NAVIGATOR DR. STE 130 MERIDIAN, ID 83642 | DELTA DENTAL OF IDAHO | $702 | — | $702 | 0.73% |
| AUSTIN WARNER3 | STE 540 1111 W JEFFERSON ST BOISE, ID 83702 | NORTHWESTERN MUTUAL | $5K | $1K | $6K | 8.55% |
| MICHAEL CRAYTHORNE3 | STE 540 1111 W JEFFERSON ST BOISE, ID 83702 | NORTHWESTERN MUTUAL | $491 | $147 | $638 | 0.96% |
| JASON GARTH WILDE3 | STE 540 1111 W JEFFERSON ST BOISE, ID 83702 | NORTHWESTERN MUTUAL | $193 | $48 | $241 | 0.36% |
| ROBERT J SHANNON3 | STE 540 1111 W JEFFERSON ST BOISE, ID 83702 | NORTHWESTERN MUTUAL | $29 | $12 | $41 | 0.06% |
| ACRISURE LLC3 Filed as: ACRISURE | CYNTHIA GARCIA 2929 W NAVIGATOR DR. STE 130 MERIDIAN, ID 83642 | NORTHWEST DENTAL BENEFITS | $823 | — | $823 | 6.41% |
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 | 176 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF IDAHO | 119 | $1.8M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF IDAHO | 114 | $109K |
| Vision | BLUE CROSS OF IDAHO | 119 | $1.3M |
| Life insurance | STANDARD INSURANCE COMPANY | 188 | $105K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 188 | $172K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.