| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 SUITE 2400 CONCORD, CA 94520 | ANTHEM HEALTH PLANS, INC. (G1800) | $15K | — | $15K | 1.30% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | ANTHEM HEALTH PLANS, INC. (G1800) | $3K | — | $3K | 0.24% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 102159 PASADENA, CA 91189 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 2.83% |
| DIGITAL INSURANCE LLC3 | 195 SCOTT SWAMP RD FARMINGTON, CT 06032 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 2.06% |
| IMG5 | 2690 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $91 | $91 | 0.03% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3820 MEDIA CENTER DR. BLDG 6, STE 120 LOS ANGELES, CA 90065 | RELIASTAR LIFE INSURANCE COMPANY | $13K | — | $13K | 19.18% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | RELIASTAR LIFE INSURANCE COMPANY | $4K | — | $4K | 6.23% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3000 EXECUTIVE PKWY STE 325 SAN RAMON, CA 945834335 | RELIASTAR LIFE INSURANCE COMPANY | $347 | — | $347 | 0.50% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD #800 CONCORD, CA 94520 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $3K | — | $3K | 8.33% |
| EPIC3 Filed as: ASCENDE, INC. (EPIC) | 2700 POST OAK BLVD. HOUSTON, TX 77056 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $3K | — | $3K | 6.70% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $1K | — | $1K | 3.30% |
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 | 527 | 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) | 527 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM HEALTH PLANS, INC. (G1800) | 856 | $1.2M |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 720 | $38K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 527 | $288K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 527 | $288K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 527 | $288K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS, INC. (G1800) | 856 | $1.2M |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 527 | $357K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 856 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.