| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS AND INSURANCE | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | UNITEDHEALTHCARE INSURANCE COMPANY | $129K | $0 | $129K | 3.99% |
| LUMITY, INC.3 Filed as: LUMITY INC | 71 EAST 3RD AVENUE SAN MATEO, CA 94401 | UNITEDHEALTHCARE INSURANCE COMPANY | $179 | $0 | $179 | 0.01% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS AND INSURANCE | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | DELTA DENTAL OF NEW YORK | $19K | $0 | $19K | 10.00% |
| LUMITY, INC.3 | 71 EAST 3RD AVENUE SAN MATEO, CA 94401 | DELTA DENTAL OF NEW YORK | $13K | $0 | $13K | 6.61% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS AND INSURANCE | 1850 GATEWAY DRIVE, SUITE 700 SUITE 250 SAN MATEO, CA 94404 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $18K | $0 | $18K | 9.48% |
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 | 203 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 446 | $3.2M |
| Dental | DELTA DENTAL OF NEW YORK | 434 | $194K |
| Vision | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 219 | $187K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 219 | $187K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 219 | $187K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 219 | $187K |
| Other | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 219 | $187K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 446 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.