| 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. | $29K | $0 | $29K | 2.94% |
| NTH INSURANCE AGENCY INC.3 Filed as: NTH INSURANCE AGENCY, INC. | 10833 VALLEY VIEW STREET CYPRESS, CA 90630 | AETNA HEALTH INC. | $15K | $0 | $15K | 3.03% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 10.00% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 10.00% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $407 | $0 | $407 | 10.00% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $387 | $0 | $387 | 10.01% |
| NTH INSURANCE AGENCY INC.3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 906305056 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $353 | $0 | $353 | 10.00% |
| NORIKAZU NISHIDA3 | 10833 VALLEY VIEW STREET, SUITE 550 CYPRESS, CA 90630 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $126 | $0 | $126 | 10.01% |
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 | 226 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 455 | $1.6M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 455 | $1.1M |
| Vision | AETNA LIFE INSURANCE CO. | 455 | $971K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $47K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $4K |
| Prescription drug(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 455 | $1.6M |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 455 | — |
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.