| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 102159 PASADENA, CA 91189 | HARTFORD LIFE AND ACCIDENT | $77K | — | $77K | 5.66% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 102159 PASADENA, CA 91189 | DELTA DENTAL INSURANCE COMPANY | $18K | — | $18K | 1.85% |
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 | 2,425 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,425 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | 28 | $1.0M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,815 | $951K |
| Vision | EYEMED VISION CARE | 1,582 | $203K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,886 | $1.4M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 2,886 | $1.4M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,886 | $1.4M |
| Other | HARTFORD LIFE AND ACCIDENT | 2,886 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,886 | — |
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."
No prospect flags tripped on this filing.