| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MINDFUL INSURANCE SOLUTIONS3 | 2043 ANDERSON ROAD DAVIS, CA 95616 | AETNA HEALTH, INC. | $34K | — | $34K | 4.99% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | 1600 WEST HILLSDALE BOULEVARD SAN MATEO, CA 94402 | AETNA HEALTH, INC. | $10K | — | $10K | 1.50% |
| MINDFUL INSURANCE SOLUTIONS3 | 2043 ANDERSON ROAD DAVIS, CA 95616 | AETNA LIFE INSURANCE COMPANY | $5K | — | $5K | 5.00% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE | 1600 WEST HILLSDALE BOULEVARD SAN MATEO, CA 94402 | AETNA LIFE INSURANCE COMPANY | $1K | — | $1K | 1.50% |
| MINDFUL INSURANCE SOLUTIONS3 | 2043 ANDERSON ROAD DAVIS, CA 95616 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 8.22% |
| MINDFUL INSURANCE SOLUTIONS3 | 2043 ANDERSON ROAD DAVIS, CA 95616 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 22.93% |
| MINDFUL INSURANCE SOLUTIONS3 | 2043 ANDERSON ROAD DAVIS, CA 95616 | VISION SERVICE PLAN | $898 | — | $898 | 6.35% |
| ENROLLEASE3 | 1980 FESTIVAL PLAZA DRIVE LAS VEGAS, NV 89135 | VISION SERVICE PLAN | $60 | — | $60 | 0.42% |
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 | 227 | 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) | 227 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 124 | $783K |
| Vision | VISION SERVICE PLAN | 123 | $14K |
| Life insurance | STANDARD INSURANCE COMPANY | 227 | $23K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 124 | $783K |
| Other | STANDARD INSURANCE COMPANY | 227 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.