| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 | 21300 VICTORY BLVD WOODLAND HILLS, CA 91367 | AETNA HEALTH OF CALIFORNIA, INC (A CALIFORNIA CORPORATION) | $64K | — | $64K | 4.65% |
| PCF INSURANCE SERVICES OF THE WEST3 | 150 N GRAND AVE, STE 209 WEST COVINA, CA 91791 | AETNA HEALTH OF CALIFORNIA, INC (A CALIFORNIA CORPORATION) | $6K | — | $6K | 0.41% |
| PCF INSURANCE SERVICES OF THE WEST3 | 21300 VICTORY BLVD WOODLAND HILLS, CA 91367 | AETNA LIFE INSURANCE CO. | $16K | — | $16K | 4.50% |
| PCF INSURANCE SERVICES OF THE WEST3 | 150 N GRAND AVE, STE 209 WEST COVINA, CA 91791 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 0.43% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $2K | $11K | 6.19% |
| PCF INSURANCE SERVICES OF THE WEST3 | 150 N GRAND AVE, STE 209 WEST COVINA, CA 91791 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | — | $11K | 6.13% |
| PCF INSURANCE SERVICES OF THE WEST3 | 150 N GRAND AVE, STE 209 WEST COVINA, CA 91791 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $2K | — | $2K | 10.08% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC | 422 WAUPONSEE ST MORRIS, IL 604502215 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $1K | $283 | $1K | 6.31% |
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 | 208 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 208 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 41 | $355K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 767 | $205K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 767 | $183K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 767 | $183K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 767 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 767 | — |
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.