| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, FLOOR 6 SAN DIEGO, CA 92101 | UNITEDHEALTHCARE INSURANCE COMPANY | $118K | $0 | $118K | 5.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1800 VON KARMAN AVENUE IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $28K | $59 | $28K | 2.64% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $6K | $20K | 1.87% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC | 7979 OLD GEORGETOWN ROAD SUITE 300 BETHESDA, MD 20814 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $4K | $4K | 0.42% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES, INC | 1800 VON KARMAN AVENUE SUITE 300 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $59 | $3K | 0.24% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $629 | $260 | $889 | 0.08% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN AVENUE FLOOR 10 IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN, INC. | $34K | $0 | $34K | 5.09% |
| AMWINS3 Filed as: AMWINS CONNECT INS SERVICES, LLC | 2677 NORTH MAIN STREET SUITE 800 SANTA ANA, CA 92705 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | $0 | $7K | 1.06% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN AVENUE FLOOR 10 IRVINE, CA 92612 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $502 | $0 | $502 | 6.92% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $251 | $104 | $355 | 4.89% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC | 7979 OLD GEORGETOWN ROAD SUITE 300 BETHESDA, MD 20814 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $76 | $0 | $76 | 1.05% |
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 | 229 | 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) | 239 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 296 | $3.0M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 428 | $1.1M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 428 | $1.1M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 428 | $1.1M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 428 | $1.1M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 428 | $1.1M |
| Prescription drug(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 296 | $3.0M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 428 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 428 | — |
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.