| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NTH INSURANCE AGENCY INC.3 Filed as: NTH INSURANCE AGENCY, INC. | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 90630 | AETNA LIFE INSURANCE CO. | $44K | $0 | $44K | 2.36% |
| NTH INSURANCE AGENCY INC.3 Filed as: NTH INSURANCE AGENCY, INC. | 10833 VALLEY VIEW STREET CYPRESS, CA 90630 | AETNA HEALTH INC. | $26K | $0 | $26K | 2.46% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | $0 | $5K | 12.17% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 13.42% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $835 | $0 | $835 | 13.54% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $722 | $0 | $722 | 12.29% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $401 | $0 | $401 | 11.97% |
| NORIKAZU NISHIDA3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 90630 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $238 | $0 | $238 | 21.48% |
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 | 227 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 443 | $3.0M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 443 | $2.0M |
| Vision | AETNA LIFE INSURANCE CO. | 443 | $1.9M |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 260 | $62K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 103 | $6K |
| Prescription drug(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 443 | $3.0M |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 260 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 443 | — |
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."
No prospect flags tripped on this filing.