Three Rivers Ambulance Authority
Updated Filing received by DOL
Three Rivers Ambulance Authority, a healthcare & social assistance employer in Fort Wayne, Indiana, reported 111 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 1 insurance contract with no premium reported and $20,337 in broker commissions and fees. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on July 20, 2026, before the deadline.
Who was paid on Three Rivers Ambulance Authority's plan
Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Three Rivers Ambulance Authority filed for 2025.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| Acrisure · Grand Rapids, MI | $12,109 | $2,138 | $14,247 | 2 |
| Henderson Brothers, Inc. · Pittsburgh, PA | $0 | $0 | $0 | 1 |
Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.
Insurance contracts and carriers
Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.
| Carrier · coverage | Covered | Premium | Broker pay | Rate |
|---|---|---|---|---|
| Principal Life Insurance Companydental, vision, life, short-term disability, long-term disability | 174 | — | $20,337 | — |
Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.
How Three Rivers Ambulance Authority compares
Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.
Not computable: no insured medical premium on the filing.
Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.
Filings and timeliness
Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.
| Plan | Plan year end | Received by DOL | Timing | Participants |
|---|---|---|---|---|
| Three Rivers Ambulance Authority Life & Ad&D Plan#501 · insurance | December 31, 2025 | July 20, 2026 | before deadline | 111 |
Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.
How much did Three Rivers Ambulance Authority pay in health insurance broker commissions in 2025?
Three Rivers Ambulance Authority's 2025 Form 5500 reports $20,337 in broker commissions and fees across 1 insurance contracts ($12,106 in commissions, $8,231 in fees), with Acrisure receiving the largest share.
Is Three Rivers Ambulance Authority's health plan self-funded or fully insured?
The 2025 filing indicates the plan is fully insured (an insurance carrier pays claims).
How does Three Rivers Ambulance Authority's broker compensation compare with similar employers?
A commission-to-premium ratio cannot be computed for Three Rivers Ambulance Authority because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.
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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.