| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 10505 SORRENTO VALLEY RD., STE. 200 SAN DIEGO, CA 92121 | SHARP HEALTH PLAN | $37K | — | $37K | 4.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10505 SORRENTO VALLEY RD., STE. 200 SAN DIEGO, CA 92121 | MEDIEXCEL HEALTH PLAN | $39K | — | $39K | 4.69% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 10505 SORRENTO VALLEY RD., STE. 200 SAN DIEGO, CA 92121 | SHARP HEALTH PLAN | $3K | — | $3K | 4.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10505 SORRENTO VALLEY RD., STE. 200 SAN DIEGO, CA 92121 | UNITED CONCORDIA DENTAL PLAN OF CALIFORNIA, INC. | $6K | — | $6K | 10.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 9200 INDIAN CREEK PKWY., STE. 195 OVERLAND PARK, KS 66210 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 10.58% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2345 GRAND BLVD., SUITE 400 KANSAS CITY, MO 64108 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $723 | $723 | 1.57% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4 | — | $4 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10505 SORRENTO VALLEY RD., STE. 200 SAN DIEGO, CA 92121 | EYEMED VISION CARE | $3K | — | $3K | 9.97% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10505 SORRENTO VALLEY RD., STE. 200 SAN DIEGO, CA 92121 | UNITED CONCORDIA INSURANCE COMPANY | $2K | — | $2K | 10.02% |
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 | 289 | 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) | 289 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | SHARP HEALTH PLAN | 559 | $1.8M |
| Dental(2 contracts, 2 carriers) | UNITED CONCORDIA DENTAL PLAN OF CALIFORNIA, INC. | 193 | $77K |
| Vision(3 contracts, 2 carriers) | SHARP HEALTH PLAN | 540 | $1.0M |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $46K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $46K |
| Prescription drug(2 contracts) | SHARP HEALTH PLAN | 191 | $982K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 559 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.