| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GCG FINANCIAL LLC3 Filed as: SHOMER INS SVCS AN ALERA GROUP | 5805 SEPULVEDA BLVD, SUITE 500 VAN NUYS, CA 91411 | BLUE CROSS OF CALIFORNIA | $93K | — | $93K | 5.50% |
| AMWINS3 Filed as: AMWNS CONNECT | 1600 W. HILLSDALE BLVD. SAN MATEO, CA 94402 | BLUE CROSS OF CALIFORNIA | — | $14K | $14K | 0.80% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC. | 965 GREENTREE ROAD PITTSBURGH, PA 15220 | BLUE CROSS OF CALIFORNIA | -$147 | — | -$147 | -0.01% |
| KCAL HEALTH INSURANCE SERVICES3 | 2048 S. HACIENDA BLVD. HACIENDA HIGHTS, CA 91745 | BLUE CROSS OF CALIFORNIA | -$214 | — | -$214 | -0.01% |
| GCG FINANCIAL LLC3 Filed as: SHOMER INS SVCS AN ALERA GROUP | 5805 SEPULVEDA BLVD, SUITE 500 SHERMAN OAKS, CA 91411 | KAISER FOUNDATION HEALTH PLAN INC. | $12K | — | $12K | 4.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $712 | $6K | 6.16% |
| SHOMER INSURANCE AGENCY3 | 5805 SEPULVEDA BLVD. SHERMAN OAKS, CA 91411 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $475 | $4K | 4.11% |
| GCG FINANCIAL LLC3 Filed as: DICKERSON AN ALERA GROUP | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | KAISER FOUNDATION HEALTH PLAN INC - HAWAII | $1K | — | $1K | 3.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $938 | $122 | $1K | 6.27% |
| SHOMER INSURANCE AGENCY3 | 5805 SEPULVEDA BLVD. SHERMAN OAKS, CA 91411 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $626 | $73 | $699 | 4.13% |
| COLONIAL LIFE & ACCIDENT3 Filed as: COLONIAL - SEE ATTACHEMENT | PO BOX 1365 COLUMBIA, SC 29202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $2K | $7K | 49.43% |
| THE PAUL REVERE LIFE INSURANCE3 Filed as: PAUL REVERE - SEE ATTACHMENT | PO BOX 1365 COLUMBIA, SC 29202 | THE PAUL REVERE LIFE INSURANCE COMPANY | $117 | $774 | $891 | 130.84% |
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 | 492 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 213 | $2.0M |
| Dental | BLUE CROSS OF CALIFORNIA | 213 | $1.7M |
| Vision | BLUE CROSS OF CALIFORNIA | 213 | $1.7M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 377 | $121K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 377 | $104K |
| Prescription drug(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 213 | $2.0M |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 377 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 377 | — |
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.