| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRAY, LESLIE3 | 8583 IRVINE CENTER DIRVE, SUITE 155 IRVINE, CA 92618 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $78K | — | $78K | 1.83% |
| TOGNOLI, MARIA3 | 1133 CAMELBACK, 9043 NEWPORT BEACH, CA 92658 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $78K | — | $78K | 1.83% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $75K | — | $75K | 1.77% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INSURANCE | 721 S PARKER, #300 ORANGE, CA 92868 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | — | $52K | $52K | 1.22% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | — | $8K | $8K | 0.20% |
| LESLIE GRAY3 | 8583 IRVINE CENTER DRIVE, SUITE 155 IRVINE, CA 926184298 | KAISER FOUNDATION HEALTH PLAN, INC. | $26K | — | $26K | 3.25% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN, INC. | $10K | — | $10K | 1.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INS. ADMINISTRATORS | 721 S. PARKER STREET, SUITE 300 ORANGE, CA 928684732 | KAISER FOUNDATION HEALTH PLAN, INC. | $9K | — | $9K | 1.07% |
| MARIA TOGNOLI3 | 8583 IRVINE CENTER DRIVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 9.06% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NY 117883914 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $1K | $3K | 5.28% |
| LESLIE D GRAY3 Filed as: LESLIE D. GRAY | 8583 IRVINE CENTER DIRVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 5.05% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 4.90% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NY 117883914 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $4K | $6K | 11.39% |
| MARIA TOGNOLI3 | 8583 IRVINE CENTER DRIVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 10.70% |
| LESLIE D GRAY3 | 8583 IRVINE CENTER DIRVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 5.23% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.55% |
| MARIA TOGNOLI3 | 8583 IRVINE CENTER DRIVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 8.88% |
| LESLIE D GRAY3 | 8583 IRVINE CENTER DIRVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 5.01% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.98% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NC 117883914 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 3.34% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | — | $2K | 4.81% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 4.00% |
| BRITE BENEFITS INC3 Filed as: BRITE BENEFITS INC. | 2362 S. 2300 E. SALT LAKE CITY, UT 84109 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $804 | — | $804 | 2.36% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 4.54% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $973 | — | $973 | 4.06% |
| BRITE BENEFITS INC3 Filed as: BRITE BENEFITS INC. | 2362 S. 2300 E. SALT LAKE CITY, UT 84109 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $575 | — | $575 | 2.40% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $731 | — | $731 | 4.67% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $631 | — | $631 | 4.03% |
| BRITE BENEFITS INC3 Filed as: BRITE BENEFITS INC. | 2362 S. 2300 E. SALT LAKE CITY, UT 84109 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $373 | — | $373 | 2.38% |
| MARIA TOGNOLI3 | 8583 IRVINE CENTER DRIVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $408 | — | $408 | 9.20% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC. | 225 WIRELESS BOULEVARD, SUITE 200 HAUPPAUGE, NY 117883914 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $151 | $85 | $236 | 5.32% |
| LESLIE D GRAY3 | 8583 IRVINE CENTER DIRVE, SUITE 155 IRVINE, CA 92614 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $226 | — | $226 | 5.10% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $214 | — | $214 | 4.83% |
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 | 496 | 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) | 496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 398 | $5.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 398 | $4.2M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 398 | $4.2M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 760 | $56K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 115 | $43K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 459 | $53K |
| Prescription drug(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 398 | $5.1M |
| Other(5 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | 755 | $4.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 760 | — |
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.