| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF, A MARSH & MCLENNAN AGENCY | 7701 AIRPORT CENTER DR STE 1800 GREENSBORO, NC 27409 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $24K | — | $24K | 3.99% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA HEALTH, INC. | $19K | — | $19K | 4.96% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC DBA BXA | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | AETNA HEALTH, INC. | -$3K | — | -$3K | -0.87% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 150 S WARNER RD STE 460 KING OF PRUSSIA, PA 194062843 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $22 | $17K | 10.44% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 503232317 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 5.21% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 986620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.51% |
| BENEFIT EXCHANGES ALLIANCE, INC.3 | 23716 BIRTCHER DR LAKE FOREST, CA 926301771 | METROPOLITAN LIFE INSURANCE COMPANY | $23 | $2K | $2K | 1.26% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC D/B/A AH | 1615 MURRAY CANYON RD STE 1050 SAN DIEGO, CA 921084321 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.25% |
| ACRISURE LLC3 Filed as: ACRISURE OF CAL, LLC DBA BXA INSURA | 23716 BIRTCHER DR LAKE FOREST, CA 926301771 | METROPOLITAN LIFE INSURANCE COMPANY | $642 | — | $642 | 0.40% |
| BENEFITS MATCHMAKING LLC3 Filed as: BENEFITS MATCHMAKING, LLC | 23716 BIRTCHER DR LAKE FOREST, CA 926301771 | METROPOLITAN LIFE INSURANCE COMPANY | $630 | — | $630 | 0.39% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA LIFE INSURANCE CO. | $6K | — | $6K | 4.86% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC DBA BXA | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | AETNA LIFE INSURANCE CO. | -$1K | — | -$1K | -1.20% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 150 S WARNER RD STE 460 KING OF PRUSSIA, PA 194062843 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $385 | — | $385 | 11.23% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 503232317 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $193 | — | $193 | 5.63% |
| BENEFIT EXCHANGES ALLIANCE, INC.3 | 23716 BIRTCHER DR LAKE FOREST, CA 926301771 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | — | $76 | $76 | 2.22% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 986620 CHARLOTTE, NC 282896620 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | — | $59 | $59 | 1.72% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC D/B/A AH | 1615 MURRAY CANYON RD STE 1050 SAN DIEGO, CA 921084321 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | — | $59 | $59 | 1.72% |
| BENEFITS MATCHMAKING LLC3 Filed as: BENEFITS MATCHMAKING, LLC | 23716 BIRTCHER DR LAKE FOREST, CA 926301771 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | -$3 | — | -$3 | -0.09% |
| ACRISURE LLC3 Filed as: ACRISURE OF CAL, LLC DBA BXA INSURA | 23716 BIRTCHER DR LAKE FOREST, CA 926301771 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | -$5 | — | -$5 | -0.15% |
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 | 257 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 89 | $1.1M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 338 | $166K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 338 | $162K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 338 | $162K |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 89 | $601K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 338 | $162K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 338 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.