| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | ANTHEM BLUE CROSS | $15K | — | $15K | 4.97% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $5K | — | $5K | 9.88% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 12 MAUCHLY, BLDG. I IRVINE, CA 92618 | GUARDIAN | $4K | — | $4K | 14.65% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | VISION SERVICE PLAN | $752 | — | $752 | 6.88% |
| COLONIAL LIFE & ACCIDENT3 | P.O. BOX 1365 COLUMBIA, SC 29202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $276 | $4 | $280 | 3.78% |
| CHRISTOPHER C FEAZEL3 Filed as: CHRISTOPHER GUARINO | 99 ROSEWOOD DRIVE DANVERS, MA 01923 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $730 | — | $730 | 12.25% |
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 | 306 | 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) | 306 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS | 9 | $297K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 89 | $49K |
| Vision | VISION SERVICE PLAN | 74 | $11K |
| Life insurance(3 contracts, 3 carriers) | GUARDIAN | 306 | $38K |
| Short-term disability(3 contracts, 3 carriers) | GUARDIAN | 306 | $38K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 23 | $6K |
| Other(3 contracts, 3 carriers) | GUARDIAN | 306 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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.