| 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 | AETNA HEALTH, INC. | $31K | — | $31K | 4.95% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | AETNA LIFE INSURANCE COMPANY | $13K | $4K | $18K | 8.42% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | HARTFORD LIFE AND ACCIDENT | $809 | — | $809 | 10.01% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 669 RIVER DRIVE ELMWOOD PARK, NJ 07407 | HARTFORD LIFE AND ACCIDENT | — | $257 | $257 | 3.18% |
| SYNERGY ENROLLMENT AND BENEFITS LLC3 Filed as: SYNERGY ENROLLMENT AND BENEFIT | 3550 CAMINO DEL RIO N STE 207 SAN DIEGO, CA 92108 | UNUM INSURANCE COMPANY | $742 | — | $742 | 19.30% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | UNUM INSURANCE COMPANY | $147 | — | $147 | 3.82% |
| SYNERGY ENROLLMENT AND BENEFITS LLC3 Filed as: SYNERGY ENROLLMENT AND BENEFIT | 3550 CAMINO DEL RIO N STE 207 SAN DIEGO, CA 92108 | UNUM INSURANCE COMPANY | $357 | — | $357 | 10.49% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | UNUM INSURANCE COMPANY | $153 | — | $153 | 4.50% |
| SYNERGY ENROLLMENT AND BENEFITS LLC3 Filed as: SYNERGY ENROLLMENT AND BENEFIT | 3550 CAMINO DEL RIO N STE 207 SAN DIEGO, CA 92108 | UNUM INSURANCE COMPANY | $496 | — | $496 | 15.42% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | UNUM INSURANCE COMPANY | $127 | — | $127 | 3.95% |
| SYNERGY ENROLLMENT AND BENEFITS LLC3 Filed as: SYNERGY ENROLLMENT AND BENEFIT | 3550 CAMINO DEL RIO N STE 207 SAN DIEGO, CA 92108 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $256 | — | $256 | 10.49% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $110 | — | $110 | 4.51% |
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 | 141 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 140 | $836K |
| Dental | AETNA LIFE INSURANCE COMPANY | 140 | $210K |
| Vision | AETNA LIFE INSURANCE COMPANY | 140 | $210K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 141 | $8K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 11 | $2K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 140 | $836K |
| Other(4 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 141 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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.