| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 141 W GREEN STREET PASADENA, CA 91105 | HARTFORD LIFE AND ACCIDENT | $63K | $0 | $63K | 15.39% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | $0 | $3K | 0.76% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.71% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 2.61% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $0 | $6K | 15.00% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 141 W GREEN STREET PASADENA, CA 91105 | HARTFORD LIFE AND ACCIDENT | $183 | $0 | $183 | 3.18% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 2677 ROCHELLE PLACE SIMI VALLEY, CA 93063 | METLIFE LEGAL PLANS | $555 | $0 | $555 | 10.37% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 141 W GREEN STREET PASADENA, CA 91105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $852 | $0 | $852 | 19.06% |
| SMITH, THOMAS, CHRISTOPHER3 | P.O. BOX 40386 798 BERRY RD. NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $297 | $37 | $334 | 7.47% |
| M FINANCIAL HOLDINGS INC3 Filed as: FM FINANCIAL SERVICES, INC. | 141 W GREEN STREET PASADENA, CA 91105 | FIRST UNUM LIFE INSURANCE COMPANY | -$73 | $0 | -$73 | -23.78% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $62K |
| WEX HEALTH INC. EIN 06-1593514 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $13K |
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $12K |
| UNUM LIFE INSURANCE CO OF AMERICA EIN 01-0278678 CONTRACT ADMIN | Contract Administrator Service code 13 | — | $1K |
| CIGNA | Other services Service code 49 | — | $0 |
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 | 586 | 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) | 586 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 609 | $489K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $39K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 609 | $450K |
| Stop-loss / reinsurancereinsurance(3 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 350 | $821K |
| Other(7 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 609 | $504K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 609 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.