| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE PARTNERS WEST COAST INS | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | METROPOLITAN LIFE INSURANCE COMPANY | $59K | $6K | $65K | 11.77% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | METROPOLITAN LIFE INSURANCE COMPANY | — | $63 | $63 | 0.01% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 10100 KATY FREEWAY SUITE 400 HOUSTON, TX 77043 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $29K | — | $29K | 10.89% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 3155 OLSEN DRIVE STE 400 SAN JOSE, CA 95117 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | — | $11K | 4.11% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 10100 KATY FREEWAY SUITE 400 HOUSTON, TX 77043 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16K | — | $16K | 10.48% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 3155 OLSEN DRIVE STE 400 SAN JOSE, CA 95117 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | — | $7K | 4.52% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 10100 KATY FREEWAY SUITE 400 HOUSTON, TX 77043 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $10K | — | $10K | 10.74% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 3155 OLSEN DRIVE STE 400 SAN JOSE, CA 95117 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 4.26% |
| ACRISURE LLC3 Filed as: ACRISURE PARTNERS WEST COAST INS | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | METROPOLITAN LIFE INSURANCE COMPANY | — | $460 | $460 | 1.07% |
| ACRISURE LLC3 Filed as: ACRISURE PARTNERS WEST COAST INS | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | $453 | $16K | 37.81% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF A MARSH & MCLENNAN AGENCY | PO BOX 896620 CHARLOTTE, NC 28289 | METLIFE LEGAL PLANS | $1K | — | $1K | 4.93% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE | PO BOX 896620 CHARLOTTE, NC 28289 | METLIFE LEGAL PLANS | $632 | — | $632 | 2.33% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 1350 TREAT BLVD STE 100 WALNUT CREEK, CA 95497 | METLIFE LEGAL PLANS | $552 | — | $552 | 2.03% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 1150 MORAGA WAY MORAGA, CA 94556 | METLIFE LEGAL PLANS | $191 | — | $191 | 0.70% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: RJF AGENCIES, INC. | 7225 NORTHLAND DRIVE NORTH SUITE 300 MINNEAPOLIS, MN 554281516 | METLIFE LEGAL PLANS | — | $75 | $75 | 0.28% |
| BB&T INSURANCE SERVICES, INC.3 | 3605 GLENWOOD AVENUE RALEIGH, NC 27612 | METLIFE LEGAL PLANS | — | $63 | $63 | 0.23% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 451408320 | METLIFE LEGAL PLANS | — | $4 | $4 | 0.01% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 10100 KATY FREEWAY SUITE 400 HOUSTON, TX 77043 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $938 | — | $938 | 10.67% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 3155 OLSEN DRIVE STE 400 SAN JOSE, CA 95117 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $381 | — | $381 | 4.33% |
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 | 1,144 | 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) | 1,144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,280 | $551K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,280 | $551K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,144 | $88K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,144 | $265K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 351 | $156K |
| Other(5 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,144 | $209K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,280 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.