| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRIOT GROWTH INSURANCE SERVICES3 | 31248 OAK CREST DR #140 WESTLAKE VILLAGE, CA 913614692 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $444 | $4K | 7.01% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 501 OFFICE CENTER DRIVE, SUITE 215 FORT WASHINGTON, PA 19034 | MANHATTANLIFE | $7K | — | $7K | 38.38% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 31248 OAK CREST DR STE 140 WESTLAKE VILLAGE, CA 91361 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $287 | $3K | 16.85% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $128 | $128 | 0.82% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 31248 OAK CREST DR STE 140 WESTLAKE VILLAGE, CA 91361 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $175 | $2K | 21.93% |
| BENEFITS ALLIANCE INSURANCE SERVICE5 | 5210 LEWIS RD STE 14 AGOURA HILLS, CA 91301 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 11.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $78 | $78 | 0.86% |
| VOLUNTARY BENEFITS SPECIALISTS LLC3 | 289 FARRIS AVE LAS VEGAS, NV 89183 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 17.24% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 31248 OAK CREST DR STE 140 WESTLAKE VILLAGE, CA 91361 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $748 | $70 | $818 | 21.88% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $31 | $31 | 0.83% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 31248 OAK CREST DR STE 140 WESTLAKE VILLAGE, CA 91361 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $640 | $62 | $702 | 21.94% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $27 | $27 | 0.84% |
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 | 104 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 101 | $54K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 101 | $54K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 104 | $19K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 44 | $9K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 44 | $3K |
| Other(4 contracts, 3 carriers) | MANHATTANLIFE | 104 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 104 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.