| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS SVCS INC | 950 E BLANCO RD STE 103 SALINAS, CA 93901 | BLUE CROSS OF CALIFORNIA | $92K | — | $92K | 3.73% |
| AMWINS3 Filed as: LISI INC | 1600 WEST HILLSALE BLVD SAN MATEO, CA 94402 | BLUE CROSS OF CALIFORNIA | — | $41K | $41K | 1.66% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 499 SEAPORT COURT, #300 REDWOOD CITY, CA 94063 | BLUE CROSS OF CALIFORNIA | $23K | — | $23K | 0.93% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS SVCS INC | 950 E BLANCO RD STE 103 SALINAS, CA 93901 | KAISER FOUNDATION HEALTH PLAN INC. | $36K | — | $36K | 3.56% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DR STE 600 SAN MATEO, CA 944044060 | KAISER FOUNDATION HEALTH PLAN INC. | $15K | — | $15K | 1.44% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS SVCS INC | 950 E BLANCO RD STE 103 SALINAS, CA 93901 | DELTA DENTAL OF CALIFORNIA | $21K | — | $21K | 7.19% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 600 SAN MATEO, CA 94404 | DELTA DENTAL OF CALIFORNIA | $8K | — | $8K | 2.81% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS SVCS INC | 950 E BLANCO RD STE 103 SALINAS, CA 93901 | ANTHEM LIFE INSURANCE COMPANY | $3K | — | $3K | 3.73% |
| AMWINS3 Filed as: LISI INC | 1600 WEST HILLSDALE BLVD SAN MATEO, CA 94402 | ANTHEM LIFE INSURANCE COMPANY | — | $1K | $1K | 1.66% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 499 SEAPORT COURT, #300 REDWOOD CITY, CA 94063 | ANTHEM LIFE INSURANCE COMPANY | $747 | — | $747 | 0.93% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS SVCS INC | 950 E BLANCO RD STE 103 SALINAS, CA 93901 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $2K | — | $2K | 3.73% |
| AMWINS3 Filed as: LISI INC | 1600 WEST HILLSDALE BLVD SAN MATEO, CA 94402 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | $1K | $1K | 1.66% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 499 SEAPORT COURT, #300 REDWOOD CITY, CA 94063 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $618 | — | $618 | 0.93% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS SVCS INC | 950 E BLANCO RD STE 103 SALINAS, CA 93901 | VISION SERVICE PLAN | $1K | — | $1K | 3.36% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DRIVE, SUITE 600 SAN MATEO, CA 94404 | VISION SERVICE PLAN | $293 | — | $293 | 0.70% |
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 | 318 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 328 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 335 | $3.5M |
| Dental | DELTA DENTAL OF CALIFORNIA | 576 | $289K |
| Vision | VISION SERVICE PLAN | 299 | $42K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 319 | $66K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 319 | $80K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 319 | $80K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 335 | $3.5M |
| Other | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 319 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 576 | — |
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.