| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EBRAHIM ABE HAGHIGHAT3 | 2567 ROSCOMARE RD LOS ANGELES, CA 90077 | AETNA LIFE INSURANCE CO. | $22K | — | $22K | 3.46% |
| LEBHERZ INSURANCE SERVICES INC3 | LISI INC 1600 WEST HILLSDALE BLVD SUITE #201 SAN MATEO, CA 94402 | AETNA LIFE INSURANCE CO. | $9K | — | $9K | 1.44% |
| LEBHERZ INSURANCE SERVICES INC3 | LISI INC 1600 WEST HILLSDALE BLVD SAN MATEO, CA 94402 | AETNA LIFE INSURANCE CO. | $6K | — | $6K | 0.94% |
| EBRAHIM ABE HAGHIGHAT3 | 2567 ROSCOMARE RD LOS ANGELES, CA 90077 | AETNA HEALTH, INC. | $22K | — | $22K | 3.94% |
| LEBHERZ INSURANCE SERVICES INC3 | LISI INC 1600 WEST HILLSDALE BLVD SUITE #201 SAN MATEO, CA 94402 | AETNA HEALTH, INC. | $9K | — | $9K | 1.62% |
| LEBHERZ INSURANCE SERVICES INC3 | LISI INC 1600 WEST HILLSDALE BLVD SAN MATEO, CA 94402 | AETNA HEALTH, INC. | $6K | — | $6K | 1.09% |
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 | 269 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 16 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 286 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 215 | $637K |
| Dental | AETNA LIFE INSURANCE CO. | 215 | $637K |
| Vision | AETNA LIFE INSURANCE CO. | 215 | $637K |
| Life insurance | AETNA LIFE INSURANCE CO. | 215 | $637K |
| Other | AETNA LIFE INSURANCE CO. | 215 | $637K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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.