| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | SUITE 1950 200 GALLERIA PARKWAY ATLANTA, GA 30339 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 1.00% |
| ACRISURE LLC3 | 123 SOUTH BROAD STREET SUITE 830 PHILADELPHIA, PA 19109 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 0.59% |
| ACRISURE LLC3 | 500 WEST 36TH AVE STE 310 ANCHORAGE, AK 99503 | HARTFORD LIFE AND ACCIDENT | $12K | — | $12K | 5.23% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5482 WILSHIRE BLVD STE 1566 LOS ANGELES, CA 90036 | HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 0.87% |
| ACRISURE LLC3 | 500 WEST 36TH AVE. SUITE 310 ANCHORAGE, AK 99503 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 10.00% |
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 | 1,771 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 30 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,801 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,845 | $619K |
| Long-term disability(2 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,845 | $619K |
| Other(3 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,845 | $643K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,845 | — |
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.