| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MILES ORGANIZATION INC3 Filed as: THE MILES ORGANIZATION INC. | 578 WASHINGTON BLVD #801 MARINA DEL REY, CA 90292 | BLUE CROSS OF CALIFORNIA | $41K | — | $41K | 0.18% |
| MILES ORGANIZATION INC3 Filed as: THE MILES ORGANIZATION INC | 578 WASHINGTON BLVD STE 801 MARINA DEL REY, CA 90292 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 0.72% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2384171 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $309K |
| SEAN COOLEY EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $223K |
| BDO USA, LLP EIN 13-5381590 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $199K |
| USI NONE | Direct payment from the plan; Consulting (general) Service code 16 | 21250 HAWTHORNE BLVD SUITE 380 TORRANCE, CA 90250 | $167K |
| KANE KESSLER, PC EIN 13-2672411 NONE | Legal; Direct payment from the plan Service code 29 | — | $142K |
| MATTHEW MILLER EIN 31-6654730 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| JOHN SCUOLER EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $53K |
| THE SEGAL COMPANY NONE | Direct payment from the plan; Consulting (general) Service code 16 | 10880 WILSHIRE BOULEBARD, SUITE 850 LOS ANGELES, CA 90024 | $33K |
| BASS, BERRY AND SIMS NONE | Legal; Direct payment from the plan Service code 29 | 150 THIRD AVENUE SOUTH SUITE 2800 NASHVILLE, TN 37201 | $25K |
| MARK STERN EIN 31-6654730 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $15K |
| JASON GROVES EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $13K |
| NORMAN REISS EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $12K |
| CATHY SHANNON EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $12K |
| CARL STURGES EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $11K |
| KERSTIN EMHOFF EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $11K |
| MARK ANDROW EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $10K |
| ROBERT SACKS EIN 13-2672411 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| GARY ROSE EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $10K |
| ROBERT FISHER EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $10K |
| DAVE BERNSTEIN EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $9K |
| ROBERT FERNANDEZ EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $9K |
| RICHARD CARTER EIN 31-6654730 NONE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $9K |
| DAN ROSENTHAL EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $6K |
| SALLY ANTONACCHIO EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $5K |
| ALANA MITNICK EIN 31-6654730 NONE | Trustee (individual); Direct payment from the plan Service code 20 | — | $5K |
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 | 2,668 | 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) | 2,668 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 2,972 | $23.4M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 2,580 | $1.4M |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 3,825 | $498K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,825 | $498K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,825 | $498K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,825 | $498K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,825 | $498K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,825 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.