| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VITA INSURANCE ASSOCIATES, INC.3 Filed as: VITA INSURNACE ASSOCIATES, INC. | 1451 GRANT RD SUITE 200 MOUNTAIN VIEW, CA 94040 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 0.68% |
| VITA INSURANCE ASSOCIATES, INC.3 | 1451 GRANT RD. SUITE 200 MOUNTAIN VIEW, CA 94040 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $590 | $590 | 0.69% |
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 | 445 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 19 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 468 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | BLUE CROSS OF CALIFORNIA | 347 | $5.1M |
| Dental | DELTA DENTAL OF CALIFORNIA | 438 | $420K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 401 | $53K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 529 | $267K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 529 | $267K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 529 | $267K |
| Prescription drug(6 contracts, 5 carriers) | BLUE CROSS OF CALIFORNIA | 347 | $5.1M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 529 | $353K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 529 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.