| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DENNIS K. GREENE INC.3 Filed as: DENNIS K GREENE INC | 630 SO INDIAN HILL BLVD 4 CLAREMONT, CA 91711 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $38K | $5K | $43K | 5.20% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INSURANCE | ADMINISTRATORS INC 721 S PARKER STREET ORANGE, CA 92868 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | $8K | $8K | 0.92% |
| DENNIS K. GREENE INC.3 Filed as: DENNIS K GREENE INC | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 917115461 | HUMANADENTAL INSURANCE COMPANY | $3K | — | $3K | 5.01% |
| DENNIS K. GREENE INC.3 Filed as: DENNIS K GREENE, INC. | 630 S. INDIAN HILL BLVD. #4 CLAREMONT, CA 91711 | VSP | $1K | — | $1K | 10.00% |
| DENNIS K. GREENE INC.3 Filed as: DENNIS K GREENE INC | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 917115461 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 12.91% |
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 | 141 | 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) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 169 | $817K |
| Dental | HUMANADENTAL INSURANCE COMPANY | 91 | $56K |
| Vision | VSP | 81 | $15K |
| Life insurance | HUMANA INSURANCE COMPANY | 139 | $15K |
| Other | HUMANA INSURANCE COMPANY | 139 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 169 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.