| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE PARTNERS WEST COAST INSURA | — | CALIFORNIA CHOICE | $31K | — | $31K | 3.07% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 601 UNIVERSITY AVENUE SUITE 250 SACRAMENTO, CA 95825 | CALIFORNIA CHOICE | $19K | — | $19K | 1.93% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | — | CALIFORNIA CHOICE | $15K | — | $15K | 1.55% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 601 UNIVERSITY AVENUE SUITE 250 SACRAMENTO, CA 95825 | HUMANA INSURANCE COMPANY | $13K | — | $13K | 10.38% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA PACIFIC DIVERIFIED INS SERV MORGAN HILL, CA 95037 | AMERICAN FIDELITY ASSURANCE COMPANY | $770 | — | $770 | 4.84% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA BENEFITS DONE RIGHT INS AGY SACREMENTO, CA 95825 | AMERICAN FIDELITY ASSURANCE COMPANY | $48 | — | $48 | 0.30% |
| CHIMIENTI & ASSOCIATES3 Filed as: CHIMIENTI & ASSOC INS SVC | 3400 W MINERAL KING #B VISALIA, CA 93291 | AMERICAN FIDELITY ASSURANCE COMPANY | $8 | — | $8 | 0.05% |
| BULLION, BARBARA3 | 3486 E BOOT TRACK TR GILBERT, AZ 85296 | AMERICAN FIDELITY ASSURANCE COMPANY | $7 | — | $7 | 0.04% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 601 UNIVERSITY AVENUE SUITE 250 SACRAMENTO, CA 95825 | HUMANA DENTAL INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA PACIFIC DIVERSIFIED INS SERV MORGAN HILL, CA 95037 | AMERICAN FIDELITY ASSURANCE COMPANY | $490 | — | $490 | 4.35% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA BENEFITS DONE RIGHT INS AGY SACRAMENTO, CA 95825 | AMERICAN FIDELITY ASSURANCE COMPANY | $132 | — | $132 | 1.17% |
| BULLION, BARBARA3 | 3486 E BOOT TRACK TR GILBERT, AZ 85296 | AMERICAN FIDELITY ASSURANCE COMPANY | $17 | — | $17 | 0.15% |
| CHIMIENTI & ASSOCIATES3 Filed as: CHIMIENTI & ASSOC INS SVC | 3400 W MINERAL KING #B VISALIA, CA 93291 | AMERICAN FIDELITY ASSURANCE COMPANY | $7 | — | $7 | 0.06% |
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 | 156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA CHOICE | 133 | $998K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 151 | $133K |
| Vision | HUMANA INSURANCE COMPANY | 151 | $121K |
| Life insurance | HUMANA INSURANCE COMPANY | 151 | $121K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 55 | $16K |
| Other(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 151 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.