| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAROLD L LEE & SONS INC3 | 31 PELL STREET NEW YORK, NY 10013 | AETNA HEALTH, INC. | $15K | — | $15K | 2.47% |
| HING AND ASSOCIATES INSURANCE3 | BROKERS INC. 525 CORDOVA STREET SUITE 100 PASADENA, CA 91101 | AETNA HEALTH, INC. | $12K | — | $12K | 2.02% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC. | 301 E COLORADO BLVD STE 200 PASADENA, CA 91101 | AETNA HEALTH, INC. | $3K | — | $3K | 0.45% |
| HAROLD L LEE & SONS INC3 | 31 PELL STREET NEW YORK, NY 10013 | AETNA LIFE INSURANCE CO | $4K | — | $4K | 4.92% |
| HING AND ASSOCIATES INSURANCE3 | BROKERS INC. 525 CORDOVA STREET SUITE 100 PASADENA, CA 91101 | AETNA LIFE INSURANCE CO | $3K | — | $3K | 4.06% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC. | 301 E COLORADO BLVD STE 200 PASADENA, CA 91101 | AETNA LIFE INSURANCE CO | $654 | — | $654 | 0.86% |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING & ASSOC INS BROKERS INC | 301 E COLORADO BLVD #200 PASADENA, CA 91101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $788 | — | $788 | 3.74% |
| HAROLD L LEE & SONS INC3 | 31 PELL ST 4F NEW YORK, NY 10013 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $788 | — | $788 | 3.74% |
| PETRA PACIFIC INSURANCE SERVICE INC3 | 13950 CERRITOS CORPORATED DR CERRITOS, CA 90703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $530 | — | $530 | 2.52% |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING & ASSOC INS BROKERS INC | 301 E COLORADO BLVD #200 PASADENA, CA 91101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $499 | — | $499 | 4.15% |
| HAROLD L LEE & SONS INC3 | 31 PELL ST 4F NEW YORK, NY 10013 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $449 | — | $449 | 3.74% |
| PETRA PACIFIC INSURANCE SERVICE INC3 | 13950 CERRITOS CORPORATED DR CERRITOS, CA 90703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $303 | — | $303 | 2.52% |
| SANDRA KAWANO3 | 1654 SOLANO AVE ALBANY, CA 94707 | METROPOLITAN LIFE INSURANCE COMPANY | $386 | — | $386 | 4.97% |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING AND ASSOCIATION INS BROKERS | INC 525 CORDOVA ST #100 PASADENA, CA 91101 | METROPOLITAN LIFE INSURANCE COMPANY | $195 | — | $195 | 2.51% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 100 N 1ST STE 301 BURBANK, CA 91502 | METROPOLITAN LIFE INSURANCE COMPANY | $191 | — | $191 | 2.46% |
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 | 123 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH, INC. | 111 | $598K |
| Dental | AETNA LIFE INSURANCE CO | 139 | $76K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 119 | $8K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $21K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $12K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.