| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAGUE CORP3 | 515 N STATE ST. STE 800 CHICAGO, IL 60654 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $204K | — | $204K | 4.44% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $95K | — | $95K | 2.07% |
| LEAGUE CORP3 | 111 W ILLINOIS ST FL 5 CHICAGO, IL 60654 | KAISER FOUNDATION HEALTH PLAN INC | $40K | — | $40K | 3.76% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 2.02% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $19K | — | $19K | 3.19% |
| LEAGUE CORP3 | 515 N STATE ST. STE 800 CHICAGO, IL 60654 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 7.59% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 2.41% |
| LEAGUE CORP3 | 515 N STATE ST. STE 800 CHICAGO, IL 60654 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 7.35% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 2.65% |
| LEAGUE CORP3 | 515 N STATE ST. STE 800 CHICAGO, IL 60654 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 7.56% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 2.44% |
| LEAGUE CORP3 | 515 N STATE ST. STE 800 CHICAGO, IL 60654 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.95% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $648 | — | $648 | 2.05% |
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 | 344 | 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) | 344 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 405 | $5.6M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 327 | $594K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 327 | $594K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 457 | $160K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 342 | $72K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 342 | $95K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 141 | $1.1M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 457 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 457 | — |
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.