| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DR. STE 1200 IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN, INC. | $10K | — | $10K | 5.00% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN | — | KAISER FOUNDATION HEALTH PLAN, INC. | $3K | — | $3K | 1.54% |
| BURNHAM BENEFITS INSURANCE SERVICES3 Filed as: BURNHAM BENEFITS INS SERVICES | — | AETNA | $5K | — | $5K | 5.00% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN INS ADMIN INC | — | AETNA | $4K | — | $4K | 4.00% |
| BURNHAM BENEFITS INSURANCE SERVICES3 Filed as: BURNHAM BENEFITS INS SERVICES | 2211 MICHELSON DR. STE 1200 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $2K | $5K | 18.95% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $384 | $2K | 6.33% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 4.45% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | — | UNITEDHEALTHCARE OF CALIFORNIA | $1K | — | $1K | 5.00% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN | — | UNITEDHEALTHCARE OF CALIFORNIA | $1K | — | $1K | 4.00% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | — | HEALTH NET | $884 | — | $884 | 5.00% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN | — | HEALTH NET | $707 | — | $707 | 4.00% |
| THE BALDWIN GROUP WEST LLC3 Filed as: BALDWIN GROUP WEST LLC | 2211 MICHELSON DR. STE 1200 IRVINE, CA 92612 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $710 | $507 | $1K | 17.53% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 60450 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $355 | $95 | $450 | 6.48% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | — | $213 | $213 | 3.07% |
| THE BALDWIN GROUP WEST LLC3 Filed as: BALDWIN GROUP WEST LLC | 2211 MICHELSON DR. STE 1200 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $230 | $1K | 22.32% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $256 | $62 | $318 | 5.66% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $256 | $256 | 4.56% |
| THE BALDWIN GROUP WEST LLC3 Filed as: BALDWIN GROUP WEST LLC | 2211 MICHELSON DR. STE 1200 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $959 | $302 | $1K | 23.90% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $240 | $62 | $302 | 5.72% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $240 | $240 | 4.55% |
| THE BALDWIN GROUP WEST LLC3 Filed as: BALDWIN GROUP WEST LLC | 2211 MICHELSON DR. STE 1200 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $402 | $131 | $533 | 27.55% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $101 | $27 | $128 | 6.61% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $101 | $101 | 5.22% |
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 | 102 | 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) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 43 | $352K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 102 | $36K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 102 | $29K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 102 | $29K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 102 | $29K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 102 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 102 | — |
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.