| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEATE INSURANCE BROKER3 | 27489 AGOURA RD., SUITE 100 AGOURA HILLS, CA 91301 | TRANSAMERICA LIFE INSURANCE COMPANY | $891 | $0 | $891 | 9.39% |
| MITCH BESVINICK3 | 1280 BRIGHTON WAY NEW TOWN SQUARE, PA 19073 | TRANSAMERICA LIFE INSURANCE COMPANY | $489 | $0 | $489 | 5.15% |
| NET BENEFITS PLUS3 | 24013 VENTURA BLVD. 200 CALABASAS, CA 91302 | TRANSAMERICA LIFE INSURANCE COMPANY | $225 | $0 | $225 | 2.37% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD SUITE 514 CALABASAS, CA 91302 | TRANSAMERICA LIFE INSURANCE COMPANY | $225 | $0 | $225 | 2.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KEY BENEFIT ADMINISTRATORS EIN 35-1450364 NO | Contract Administrator Service code 13 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $13K |
| PEATE INSURANCE BROKER EIN 26-4127469 NO | Consulting (general) Service code 16 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | $6K |
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 | 271 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 271 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 161 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.