| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 9 EAST RIVER PARK PLACE EAST FRESNO, CA 93720 | AETNA LIFE INSURANCE COMPANY | $63K | $6K | $69K | 2.55% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | KAISER FOUNDATION HEALTH PLAN, INC. | $29K | $0 | $29K | 1.54% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET SAN DIEGO, CA 92101 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 2.23% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $51 | $51 | 0.02% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | VISION SERVICE PLAN | $1K | $0 | $1K | 2.97% |
| REMMEL SOLUTIONS4 | 1183 SWALLOWTAIL WAY NIPOMO, CA 93444 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $1K | $0 | $1K | 14.08% |
| TODAY'S THE DAY LLC4 Filed as: TODAY'S THE DAY, LLC | 7312 SEAWALL BOULEVARD APARTMENT 209 GALVESTON, TX 77551 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $76 | — | $76 | 0.93% |
| DEBBIE N. HUDSON4 | 435 BUENA VISTA AVENUE REDWOOD CITY, CA 94061 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $41 | $0 | $41 | 0.50% |
| CHRISTOPHER B. RENZULLI4 | 25669 DAPPLE PLACE MIDDLETON, ID 83644 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $32 | $0 | $32 | 0.39% |
| LEA SWANSON4 | 7734 MORLEY ROAD MENTOR, OH 44060 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $26 | — | $26 | 0.32% |
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 | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 206 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 485 | $4.6M |
| Dental | AETNA LIFE INSURANCE COMPANY | 485 | $2.7M |
| Vision | VISION SERVICE PLAN | 172 | $47K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $215K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $215K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 485 | $4.6M |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $223K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 485 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.