| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAUL E GOTTLIEB3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | CALIFORNIA PHYSICIANS' SERVICE | $26K | $0 | $26K | 5.11% |
| AMWINS3 Filed as: LISI, INC. | 1600 W HILLSDALE BLVD SAN MATEO, CA 94402 | CALIFORNIA PHYSICIANS' SERVICE | $6K | $0 | $6K | 1.29% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $987 | $0 | $987 | 5.00% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 | 55 INDEPENDENCE CIT #108 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 | 55 INDEPENDENCE CIRCLE #108 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $181 | $0 | $181 | 2.03% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $106 | $0 | $106 | 1.19% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OAKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$158 | $0 | -$158 | -1.78% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 | 55 INDEPENDENCE CIRCLE #108 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $106 | $0 | $106 | 2.13% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $57 | $0 | $57 | 1.15% |
| GOTTLIEB INSURANCE SERVICES3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | PREMIER ACCESS INSURANCE COMPANY | $2K | $0 | $2K | 34.50% |
| PAUL E GOTTLIEB3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $443 | $0 | $443 | 15.03% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 | 55 INDEPENDENCE CIR #108 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $206 | $0 | $206 | 13.69% |
| PAUL E GOTTLIEB3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | AMERICAN FIDELITY ASSURANCE COMPANY | $75 | $0 | $75 | 4.98% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OAKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 Filed as: HEALTHY SOLUTUONS INSURANCE SERVICE | 55 INDEPENDENCE CIRCLE #108 SUITE 420 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $181 | $0 | $181 | 141.41% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE. SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $106 | $0 | $106 | 82.81% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$158 | $0 | -$158 | -123.44% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 SUITE 420 OKLAHOMS CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $33 | $0 | $33 | 53.23% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $1 | $0 | $1 | 1.61% |
| PAUL E GOTTLIEB3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $0 | $0 | — |
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 | 112 | 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) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS' SERVICE | 66 | $501K |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 80 | $5K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 9 | $3K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 1 | $2K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 27 | $20K |
| Other(4 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 25 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 80 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.