| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA ALLTRUST INSURANCE | 2965 ALT 19 PALM HARBOR, FL 34683 | AETNA LIFE INSURANCE CO. | — | $10K | $10K | 0.23% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA ALLTRUST INSURANCE | 2965 ALT 19 PALM HARBOR, FL 34683 | AETNA LIFE INSURANCE CO. | — | $6K | $6K | 0.15% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA ALLTRUST INSURANCE | PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | — | $21K | 7.61% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $5K | $17K | 6.42% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $8K | $8K | 3.03% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GARCEAU INSURANCE | AGENCY PO BOX 1788 GRAND RAPIDS, MI 49501 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 1.13% |
| PROGRESSIVE UNDERWRITERS GROUP, INC3 | 7284 W PALMETTO PARK RD STE 106 BOCA RATON, FL 33433 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $12K | — | $12K | 10.50% |
| BARBONI, DANIEL3 | 233 SWEET BAY CIRCLE JUPITER, FL 33458 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 4.50% |
| GIS OF ILLINOIS3 Filed as: GIS BENEFITS INC DBA GIS COMMUNITY | 422 WAUPONSEE STREET MORRIS, IL 60450 | UNUM INSURANCE COMPANY | $3K | — | $3K | 9.10% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA ALLTRUST INS | 2965 ALT 19 PALM HARBOR, FL 33629 | UNUM INSURANCE COMPANY | $2K | $214 | $2K | 6.67% |
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 | 293 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 293 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 568 | $4.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 578 | $269K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 578 | $269K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 428 | $117K |
| Other | UNUM INSURANCE COMPANY | 94 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 578 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.