| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $3K | $13K | 7.03% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INS | SERVICES LLC 19401 40TH AVE W, STE 440 LYNNWOOD, WA 98036 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $2K | $7K | 3.91% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | -$414 | $6K | $5K | 2.79% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INS | SERVICES LL 19401 40TH AVE W, STE 440 LYNNWOOD, WA 98036 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $413 | $7K | 18.48% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $534 | $2K | 6.87% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | — | $640 | $640 | 1.79% |
| ACRISURE LLC3 Filed as: ACRISURE NW PARTNERS INS | SERVICES LLC 19401 40TH AVE W, STE 440 LYNWOOD, WA 98036 | ALLYHEALTH LLC | $8K | — | $8K | 24.57% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INS | SERVICES LLC 19401 40TH AVE W, STE 440 LYNWOOD, WA 98036 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $294 | $5K | 18.46% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $381 | $2K | 6.87% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | — | $445 | $445 | 1.75% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INS | SERVICES LLC 19401 40TH AVE W, STE 440 LYNNWOOD, WA 98036 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $216 | $2K | 10.37% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $280 | $1K | 6.86% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | — | $256 | $256 | 1.36% |
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 | 168 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 138 | $1.8M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $191K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $191K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $191K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $191K |
| Other(5 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 270 | $305K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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.