| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LORI COLEMAN3 | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | AETNA LIFE INSURANCE CO. | $44K | — | $44K | 2.15% |
| LORI COLEMAN3 | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | AETNA HEALTH, INC. | $32K | — | $32K | 2.00% |
| LORI COLEMAN3 Filed as: LORI A COLEMAN | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 10.83% |
| PHILLIP PORTER GOODRUM3 | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 4.46% |
| DAVID HARRIS ASBURY3 | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $530 | — | $530 | 2.04% |
| BENEFITS EXCHANGE ALLIANCE3 Filed as: BENEFITS EXCHANGE ALLIANCE INC. | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $376 | — | $376 | 1.44% |
| THOMAS CHRISTOPHER SMITH3 | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $188 | — | $188 | 0.72% |
| LORI COLEMAN3 Filed as: LORI A COLEMAN | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $114 | — | $114 | 0.44% |
| IBENEFIT COMMUNICATION LLC3 Filed as: IBENEFIT COMMUNICATION | ATTN PHILLIP GOODWIN 131 HILLSIDE AVE. CHARLOTTE, NC 28209 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $40 | $40 | 0.15% |
| LORI COLEMAN3 Filed as: LORI A COLEMAN | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.59% |
| LORI COLEMAN3 Filed as: LORI A COLEMAN | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.97% |
| LORI COLEMAN3 Filed as: LORI A. COLEMAN | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 10.00% |
| PHILLIP PORTER GOODRUM3 | — | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $645 | — | $645 | 5.36% |
| DAVID HARRIS ASBURY3 | — | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $530 | — | $530 | 4.40% |
| IBENEFIT COMMUNICATION LLC3 Filed as: IBENEFIT COMMUNICATION | ATTN PHILLIP GOODRUM 131 HILLSIDE AVE. CHARLOTTE, NC 28209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $346 | $38 | $384 | 3.19% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | — | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $148 | $5 | $153 | 1.27% |
| LORI COLEMAN3 Filed as: LORI A. COLEMAN | 15332 ANTIOCH STREET SUITE 339 PACIFIC PALISADES, CA 90272 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $261 | — | $261 | 10.00% |
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 | 756 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 757 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 489 | $2.0M |
| Dental | AETNA LIFE INSURANCE CO. | 489 | $2.0M |
| Vision | AETNA LIFE INSURANCE CO. | 489 | $2.0M |
| Life insurance(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 613 | $59K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 119 | $32K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 119 | $32K |
| Other(5 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 613 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 613 | — |
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.