| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ARMAC INSURANCE AGENCY INC3 | 17177 YUMA ST VICTORVILLE, CA 92392 | BLUE CROSS OF CALIFORNIA | $37K | $0 | $37K | 5.03% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC | 150 SAWGRASS DR ROCHESTER, NY 14620 | BLUE CROSS OF CALIFORNIA | $3K | $0 | $3K | 0.47% |
| ARMAC INSURANCE AGENCY INC3 | 17177 YUMA ST VICTORVILLE, CA 92392 | BLUE CROSS OF CALIFORNIA | $37K | $0 | $37K | 21.24% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC | 150 SAWGRASS DR ROCHESTER, NY 14620 | BLUE CROSS OF CALIFORNIA | $3K | $0 | $3K | 2.00% |
| ARMAC INSURANCE AGENCY INC3 | 17177 YUMA ST VICTORVILLE, CA 92392 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $37K | $0 | $37K | 63.36% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC | 150 SAWGRASS DR ROCHESTER, NY 14620 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $3K | $0 | $3K | 5.96% |
| ARMAC INSURANCE AGENCY INC3 | 17177 YUMA ST VICTORVILLE, CA 92392 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $37K | $0 | $37K | 272.46% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC. | 150 SAWGRASS DR ROCHESTER, NY 14620 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $3K | $0 | $3K | 25.63% |
| ARMAC INSURANCE AGENCY INC3 | 17177 YUMA ST VICTORVILLE, CA 92392 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $37K | $0 | $37K | 751.81% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC. | 150 SAWGRASS DR ROCHESTER, NY 14620 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $3K | $0 | $3K | 70.73% |
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 | 146 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 120 | $58K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 98 | $13K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 146 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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.