| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMORELLI ROSEMANN & ASSOCIATES3 Filed as: AMORELLI ROSEMANN & ASSOC INS SERV | 3110 E GUASTI ROAD STE 500 ONTARIO, CA 91761 | BLUE CROSS OF CALIFORNIA | $62K | $0 | $62K | 3.63% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 2677 N MAIN ST STE 800 SANTA ANA, CA 92705 | BLUE CROSS OF CALIFORNIA | $0 | $33K | $33K | 1.96% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | BLUE CROSS OF CALIFORNIA | $22K | $0 | $22K | 1.28% |
| AMORELLI ROSEMANN & ASSOCIATES3 | 3110 E. GUASTI RD. SUITE 500 ONTARIO, CA 91761 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $0 | $12K | 11.32% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 2677 N MAIN STREET STE 800 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $850 | $6K | 6.00% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $872 | $872 | 0.83% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $0 | $9K | 11.35% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS LLC | 2677 N MAIN ST STE 800 SANTA ANA, CA 92705 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 4.99% |
| AMORELLI ROSEMANN & ASSOCIATES3 | 3110 E GUASTI RD STE 500 ONTARIO, CA 91761 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 23.48% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS LLC | 2677 N MAIN ST STE 800 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $596 | $117 | $713 | 7.03% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $79 | $79 | 0.78% |
| AMORELLI ROSEMANN & ASSOCIATES3 | 3110 E GUASTI RD STE 500 ONTARIO, CA 91761 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 30.03% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS LLC | 2677 N MAIN ST STE 800 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $429 | $124 | $553 | 9.68% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $71 | $71 | 1.24% |
| AMORELLI ROSEMANN & ASSOCIATES3 | 3110 E GUASTI RD STE 500 ONTARIO, CA 91761 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 26.67% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS LLC | 2677 N MAIN ST STE 800 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $277 | $58 | $335 | 8.06% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $44 | $44 | 1.06% |
| AMORELLI ROSEMANN & ASSOCIATES3 | 3110 E GUASTI RD STE 500 ONTARIO, CA 91761 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $502 | $0 | $502 | 12.10% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 2677 N MAIN STREET STE 800 SANTA ANA, CA 92705 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $252 | $74 | $326 | 7.86% |
| ACRISURE LLC3 Filed as: ACRISURE SOUTHWEST PARTNERS INS | 4000 WESTERLY PLACE SUITE 110 NEWPORT BEACH, CA 92660 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $0 | $32 | $32 | 0.77% |
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 | 156 | 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) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 194 | $1.7M |
| Dental(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 290 | $185K |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 290 | $181K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 290 | $181K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 290 | $181K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 290 | $181K |
| Other(5 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 290 | $201K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 290 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.