| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| B WOOD INSURANCE AGENCY, INC.3 | 4032 WABASKA DR SAN DIEGO, CA 92107 | AETNA HEALTH, INC. | $21K | — | $21K | 3.12% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC DBA | HEALTH SAVINGS ASSOCIATES INSURANCE 100 OTTAWA AVE SE GRAND RAPIDS, MI 49503 | AETNA HEALTH, INC. | $2K | — | $2K | 0.35% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC DBA | HEALTH SAVINGS ASSOCIATES INSURANCE 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | AETNA HEALTH, INC. | $2K | — | $2K | 0.30% |
| B WOOD INSURANCE AGENCY, INC.3 | 4032 WABASKA DR SAN DIEGO, CA 92107 | AETNA LIFE INSURANCE CO. | $12K | — | $12K | 4.40% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC DBA | HEALTH SAVINGS ASSOCIATES INSURANCE 100 OTTAWA AVE SE GRAND RAPIDS, MI 49503 | AETNA LIFE INSURANCE CO. | $1K | — | $1K | 0.40% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC DBA | HEALTH SAVINGS ASSOCIATES INSURANCE 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | AETNA LIFE INSURANCE CO. | $1K | — | $1K | 0.36% |
| BWOOD INSURANCE3 | 4032 WABASKA DR SAN DIEGO, CA 92107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 13.76% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLCS DB | 3 POLARIS WAY, 4TH FLOOR ALISO VIEJO, CA 92656 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $263 | — | $263 | 1.25% |
| B WOOD INSURANCE AGENCY, INC.3 | 4032 WABASKA DR SAN DIEGO, CA 921071812 | PRINCIPAL LIFE INSURANCE COMPANY | $878 | $228 | $1K | 9.97% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | DBA HEALTH SAVINGS 3 POLARIS WAY 4TH FLOOR ALISO VIEJO, CA 92656 | PRINCIPAL LIFE INSURANCE COMPANY | $79 | — | $79 | 0.71% |
| B WOOD INSURANCE AGENCY, INC.3 Filed as: B WOOD INSURANCE AGENCY INC | 1868 WILLOW STREET SAN DIEGO, CA 92106 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 15.00% |
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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 136 | $280K |
| Dental | AETNA LIFE INSURANCE CO. | 136 | $280K |
| Vision | AETNA LIFE INSURANCE CO. | 136 | $280K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 122 | $11K |
| Long-term disability | STANDARD INSURANCE COMPANY | 16 | $10K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 37 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.