| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: BARNEY AND BARNEY | A MARSH AND MCLENNAN AGENCY LLC CO. 9171 TOWNE CENTER DRIVE, STE 500 SAN DIEGO, CA 92122 | SHARP HEALTH PLAN | $30K | — | $30K | 5.00% |
| GIBSON INSURANCE AGENCY, INC.3 Filed as: GIBSON AND ASSOCIATES, INC. | DAVID A. PARTIN 810 DUTCH SQ. BLVD, STE 115 COLUMBIA, SC 29210 | BLUECHOICE HEALTHPLAN SOUTH CAROLINA | $23K | — | $23K | 4.06% |
| JAMES R. HUGHES3 | 500 N. CENTRAL AVE GLENDALE, CA 91203 | BLUE SHIELD OF CALIFORNIA | $25K | — | $25K | 5.41% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS. SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | BLUE SHIELD OF CALIFORNIA | $15K | — | $15K | 3.19% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | WILLIS GROUP ACCOUNTING CENTER 26B CENTURY BOULEVARD, 4TH FL. NASHVILLE, TN 37214 | HARTFORD LIFE AND ACCIDENT | $12K | — | $12K | 3.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | PO BOX 85638 SAN DIEGO, CA 921865638 | KAISER FOUNDATION HEALTH PLAN INC. | $15K | — | $15K | 4.19% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: BARNEY AND BARNEY | 9171 TOWNE CENTRE DR., STE 200 SAN DIEGO, CA 921221267 | KAISER FOUNDATION HEALTH PLAN INC. | $3K | — | $3K | 0.82% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | WILLIS GROUP ACCOUNTING CENTER 26B CENTURY BOULEVARD, 4TH FL. NASHVILLE, TN 37214 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 3.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | 444 LIBERTY AVE, STE 505 PITTSBURGH, PA 15222 | HM LIFE INSURANCE COMPANY | $2K | — | $2K | 3.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: BARNEY AND BARNEY LLC | A MARSH AND MCLENNAN AGENCY LLC CO. PO BOX 85638 SAN DIEGO, CA 921865638 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $38 | $5K | 9.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN | 250 PEHLE AVE, STE 400 PARK 80 PLAZA 2 SADDLE BROOK, NJ 076635832 | METROPOLITAN LIFE INSURANCE COMPANY | — | $266 | $266 | 0.55% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: BARNEY AND BARNEY LLC | 9171 TOWNE CENTRE DR., STE 500 SAN DIEGO, CA 921221238 | METROPOLITAN LIFE INSURANCE COMPANY | — | $60 | $60 | 0.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | PO BOX 85638 SAN DIEGO, CA 921865638 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | PO BOX 12748 ROANOKE, VA 24028 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $170 | $170 | 0.73% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | PO BOX 85638 SAN DIEGO, CA 921865638 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.50% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | PO BOX 12748 ROANOKE, VA 24028 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $142 | $142 | 0.74% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: BARNEY AND BARNEY LLC | A MARSH AND MCLENNAN AGENCY LLC CO. PO BOX 85638 SAND DIEGO, CA 921865638 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $826 | — | $826 | 10.17% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN | 250 PEHLE AVE, STE 400 PARK 80 PLAZA 2 SADDLE BROOK, NJ 076635832 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | — | $47 | $47 | 0.58% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | WILLIS GROUP ACCOUNTING CENTER 26B CENTURY BOULEVARD, 4TH FL. NASHVILLE, TN 37214 | HARTFORD LIFE AND ACCIDENT | $819 | — | $819 | 11.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DR. GLEN ALLEN, VA 23060 | HARTFORD LIFE AND ACCIDENT | — | $188 | $188 | 2.64% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | WILLS GROUP ACCOUNTING CENTER 26B CENTURY BOULEVARD, 4TH FL. NASHVILLE, TN 37214 | HARTFORD LIFE AND ACCIDENT | $410 | — | $410 | 15.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | ONE PPG PLACE, 10TH FLOOR PITTSBURGH, PA 15222 | VISION BENEFITS OF AMERICA | $218 | — | $218 | 8.80% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF PENNSYLVANIA INC. | ONE PPG PLACE, 10TH FLOOR PITTSBURGH, PA 15222 | VISION BENEFITS OF AMERICA | $73 | — | $73 | 8.44% |
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 | 1,047 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,048 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | SHARP HEALTH PLAN | 170 | $2.4M |
| Dental(3 contracts, 3 carriers) | SHARP HEALTH PLAN | 170 | $661K |
| Vision(3 contracts, 2 carriers) | HM LIFE INSURANCE COMPANY | 558 | $83K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 987 | $411K |
| Short-term disability(2 contracts) | HARTFORD LIFE AND ACCIDENT | 682 | $160K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 987 | $407K |
| Prescription drug(3 contracts, 3 carriers) | SHARP HEALTH PLAN | 170 | $1.5M |
| Other(7 contracts, 4 carriers) | SHARP HEALTH PLAN | 1,047 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,047 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.