| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | AETNA LIFE INSURANCE COMPANY | $335K | $10K | $345K | 4.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN INC | $48K | — | $48K | 3.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | AETNA HEALTH OF CALFIFORNIA INC | $21K | $30K | $50K | 8.54% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $51K | $3K | $54K | 21.19% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $10K | $10K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $26K | $2K | $28K | 16.28% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $7K | $7K | 4.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $80K | $5K | $85K | 64.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $79K | $5K | $85K | 64.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | — | $101 | $101 | 0.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $17K | $2K | $19K | 16.30% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $5K | $5K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $356 | $6K | 21.28% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 4.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $233 | $3K | 16.36% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF HOUSTON LLC | 6200 SAVOY, SUITE 345 HOUSTON, TX 77036 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $686 | $686 | 4.00% |
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 | 1,564 | 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) | 1,564 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 1,720 | $10.9M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,720 | $8.6M |
| Vision | AETNA LIFE INSURANCE COMPANY | 1,720 | $8.6M |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,576 | $272K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 255 | $117K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 267 | $171K |
| Prescription drug(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 1,720 | $10.9M |
| Other(4 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,576 | $311K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,720 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.