| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 550 WEST B STREET, SUITE 400 SAN DIEGO, CA 92101 | HEALTH NET | $60K | $0 | $60K | 4.98% |
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 550 WEST B STREET, SUITE 400 SAN DIEGO, CA 92101 | SIMNSA | $20K | $0 | $20K | 5.00% |
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 5725 SOUTH VALLEY VIEW BOULEVARD SUITE 5, PMB 685290 LAS VEGAS, NV 89118 | STANDARD INSURANCE COMPANY | $4K | $0 | $4K | 4.85% |
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 5940 SOUTH RAINBOW BOULEVARD SUITE 1086 LAS VEGAS, NV 89118 | STANDARD INSURANCE COMPANY | $4K | $0 | $4K | 4.85% |
| T2B SOLUTIONS INC.3 Filed as: T2B SOLUTIONS, LLC | 1214 NORTH B STREET INDIANOLA, IA 50125 | STANDARD INSURANCE COMPANY | — | $529 | $529 | 0.64% |
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 600 B STREET, SUITE 300 SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $7K | $0 | $7K | 9.87% |
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 615 C STREET, SUITE 300 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| NEW CITY EXECUTIVE INSURANCE SERVIC3 Filed as: NEW CITY EXECUTIVE INS SVCS. INC. | 550 WEST B STREET, SUITE 400 SAN DIEGO, CA 92101 | CALIFORNIA DENTAL NETWORK, INC. | $857 | — | $857 | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 SOUTH HOPE STREET, SUITE 3750 LOS ANGELES, CA 90071 | HARTFORD LIFE AND ACCIDENT | $113 | $30 | $143 | 19.07% |
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 | 365 | 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) | 365 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 152 | $1.6M |
| Dental(4 contracts, 4 carriers) | HEALTH NET | 152 | $1.7M |
| Vision | STANDARD INSURANCE COMPANY | 352 | $83K |
| Life insurance | STANDARD INSURANCE COMPANY | 352 | $83K |
| Long-term disability | STANDARD INSURANCE COMPANY | 352 | $83K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 152 | $1.6M |
| Other(4 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 365 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 365 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.