| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SERVICES I | 2121 N. CALIFORNIA BLVD WALNUT CREEK, CA 94596 | AETNA LIFE INSURANCE COMPANY | $197K | $10K | $208K | 3.92% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 6300 BRIDGEPOINT PKWY BLD3, SUITE 500 AUSTIN, TX 78730 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $18K | $0 | $18K | 10.68% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $49 | $49 | 0.03% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 911098299 | KAISER FOUNDATION HEALTH PLAN INC | $6K | $0 | $6K | 5.18% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIAN INSURANCE SERVICES | PO BOX 8299 PASADENA, CA 91109 | UNUM INSURANCE COMPANY | $3K | $395 | $3K | 35.72% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION | 101 PARK AVE 14TH FL NEW YORK, NY 10178 | UNUM INSURANCE COMPANY | $151 | $0 | $151 | 1.56% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIAN INSURANCE SERVICES | PO BOX 8299 PASADENA, CA 91109 | UNUM INSURANCE COMPANY | $2K | $200 | $2K | 23.94% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION | 101 PARK AVE 14TH FL NEW YORK, NY 10178 | UNUM INSURANCE COMPANY | $75 | $0 | $75 | 0.82% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIAN INSURANCE SERVICES | PO BOX 8299 PASADENA, CA 91109 | UNUM INSURANCE COMPANY | $3K | $356 | $3K | 46.51% |
| AMERICAN BENEFITS AND COMPENSATION3 Filed as: AMERICAN BENEFITS & COMPENSATION | 101 PARK AVE 14TH FL NEW YORK, NY 10178 | UNUM INSURANCE COMPANY | $137 | $0 | $137 | 2.06% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET SIXTH FLOOR SAN DIEGO, CA 92101 | ARAG INSURANCE COMPANY | $571 | $0 | $571 | 9.99% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 431 | $5.6M |
| Dental | AETNA LIFE INSURANCE COMPANY | 431 | $5.3M |
| Vision | VISION SERVICE PLAN | 177 | $32K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 189 | $165K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 189 | $165K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 17 | $116K |
| Other(6 contracts, 4 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 189 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 431 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.