| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE LIBERTY COMPANY INSURANCE3 Filed as: LIBERTY COMPANY INSURANCE | BROKERS INC. 21820 BURBANK BLVD. WOODLAND HILLS, CA 91367 | AETNA HEALTH OF CALIFORNIA INC. | $37K | — | $37K | 4.36% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | AETNA HEALTH OF CALIFORNIA INC. | $3K | — | $3K | 0.39% |
| THE LIBERTY COMPANY INSURANCE3 Filed as: LIBERTY COMPANY INSURANCE | BROKERS INC. 21820 BURBANK BLVD. WOODLAND HILLS, CA 91367 | AETNA LIFE INSURANCE COMPANY | $26K | — | $26K | 4.59% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | AETNA LIFE INSURANCE COMPANY | $2K | — | $2K | 0.42% |
| THE LIBERTY COMPANY INSURANCE3 Filed as: LIBERTY COMPANY INSURANCE | BROKERS INC. 21820 BURBANK BLVD. WOODLAND HILLS, CA 91367 | DELTA DENTAL OF CALIFORNIA | $9K | — | $9K | 6.19% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 2.05% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 2905 PREMIERE PARKWAY SUITE 285 DULUTH, GA 30097 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $871 | — | $871 | 8.28% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $180 | — | $180 | 1.71% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 2905 PREMIERE PARKWAY SUITE 285 DULUTH, GA 30097 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $805 | — | $805 | 8.31% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $164 | — | $164 | 1.69% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 2905 PREMIERE PARKWAY SUITE 285 DULUTH, GA 30097 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $659 | — | $659 | 8.24% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $140 | — | $140 | 1.75% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 2905 PREMIERE PARKWAY SUITE 285 DULUTH, GA 30097 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $250 | — | $250 | 6.99% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $108 | — | $108 | 3.02% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 2905 PREMIERE PARKWAY SUITE 285 DULUTH, GA 30097 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $277 | — | $277 | 8.36% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $55 | — | $55 | 1.66% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | U.S. LEGAL SERVICES, INC. | $159 | — | $159 | 7.59% |
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 | 160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH OF CALIFORNIA INC. | 207 | $1.4M |
| Dental | DELTA DENTAL OF CALIFORNIA | 251 | $149K |
| Vision | AETNA LIFE INSURANCE COMPANY | 207 | $567K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $3K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 24 | $4K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH OF CALIFORNIA INC. | 207 | $1.4M |
| Other(5 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 251 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.