| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | BLUE CROSS OF CALIFORNIA | $97K | — | $97K | 3.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | KAISER FOUNDATION HEALTH PLAN INC | $62K | — | $62K | 3.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | AETNA LIFE INSURANCE COMPANY | $30K | — | $30K | 6.42% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 18201 VON KARMAN, SUITE 20 IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | — | $115 | $115 | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | TRANSAMERICA LIFE INSURANCE COMPANY | $34K | — | $34K | 46.92% |
| AMERICAN WORKSITE INS. MARKETING3 Filed as: AMERICAN WORKSITE INS. MKTNG., INC. | 1365 WEST VISTA WAY, SUITE 201 VISTA, CA 92083 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 4.72% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | TRANSAMERICA LIFE INSURANCE COMPANY | $130 | — | $130 | 0.18% |
| ASHBROOK CLEVIDENCE, INC.3 | WEST 3000 MACARTHUR BOULEVARD SUITE 320 SANTA ANA, CA 92704 | TRANSAMERICA LIFE INSURANCE COMPANY | $47 | — | $47 | 0.07% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 308 NORTH 21ST STREET, SUITE 100 SAINT LOUIS, MO 63103 | TRANSAMERICA LIFE INSURANCE COMPANY | $12 | — | $12 | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $7K | 12.57% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | VISION SERVICE PLAN | $2K | — | $2K | 3.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | LEGAL CLUB OF AMERICA | $1K | — | $1K | 26.95% |
| AMERICAN WORKSITE INS. MARKETING3 | UNKNOWN WOODLAND HILLS, CA 91367 | LEGAL CLUB OF AMERICA | $390 | — | $390 | 9.04% |
| COMMON CENSUS, INC.3 | UNKNOWN WOODLAND HILLS, CA 91367 | LEGAL CLUB OF AMERICA | $197 | — | $197 | 4.57% |
| PIERCE, DWIGHT, L3 Filed as: PIERCE DWIGHT - AWS | 1365 WEST VISTA WAY, SUITE 201 VISTA, CA 92083 | KANAWHA INSURANCE COMPANY | $258 | — | $258 | 11.17% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS. | 1920 MAIN STREET, SUITE 600 IRVINE, CA 92614 | KANAWHA INSURANCE COMPANY | $63 | — | $63 | 2.73% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY, INC. | 1820 EAST 1ST STREET, SUITE 400 SANTA ANA, CA 92705 | KANAWHA INSURANCE COMPANY | $8 | — | $8 | 0.35% |
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 | 421 | 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) | 424 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 448 | $4.0M |
| Dental | AETNA LIFE INSURANCE COMPANY | 421 | $471K |
| Vision | VISION SERVICE PLAN | 344 | $44K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 421 | $543K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 118 | $55K |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 421 | $471K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 448 | $4.0M |
| Other(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 421 | $550K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 448 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.