| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | BLUE CROSS OF CALIFORNIA | $22K | $7K | $29K | 0.98% |
| PREFERRED PARTNERS INSURANCE AGENCY3 | 2130 MAIN STREET SUITE 250 HUNTINGTON BEACH, CA 92648 | BLUE CROSS OF CALIFORNIA | $3K | — | $3K | 0.12% |
| PREFERRED PARTNERS INSURANCE AGENCY3 | 2130 MAIN STREET SUITE 250 HUNTINGTON BEACH, CA 92648 | KAISER FOUNDATION HEALTH PLAN INC. | $51K | — | $51K | 2.06% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN INC. | $17K | — | $17K | 0.69% |
| VARIOUS - SEE ATTACHED3 Filed as: AFLAC - SEE ATTACHMENT | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $69K | $2K | $71K | 18.50% |
| PREFERRED PARTNERS INSURANCE AGENCY3 | 2130 MAIN STREET SUITE 250 HUNTINGTON BEACH, CA 92648 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 6.66% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 3.34% |
| PREFERRED PARTNERS INSURANCE AGENCY3 | 2130 MAIN STREET SUITE 250 HUNTINGTON BEACH, CA 92648 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 3.66% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 2.66% |
| PREFERRED PARTNERS INSURANCE AGENCY3 | 2130 MAIN STREET SUITE 250 HUNTINGTON BEACH, CA 92648 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $2K | — | $2K | 4.46% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $645 | — | $645 | 1.49% |
| PREFERRED PARTNERS INSURANCE AGENCY3 | 2130 MAIN STREET SUITE 250 HUNTINGTON BEACH, CA 92648 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $970 | — | $970 | 6.63% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $492 | — | $492 | 3.36% |
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 | 597 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 608 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 537 | $5.4M |
| Dental | BLUE CROSS OF CALIFORNIA | 537 | $3.0M |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 466 | $43K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 597 | $124K |
| Short-term disability | AFLAC | 302 | $382K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 584 | $75K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 537 | $5.4M |
| Other(3 contracts, 2 carriers) | AFLAC | 597 | $471K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 597 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.