| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GOTTLIEB INSURANCE SERVICES3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | PREMIER ACCESS INSURANCE COMPANY | $1K | $0 | $1K | 0.27% |
| PAUL E GOTTLIEB3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | CALIFORNIA PHYSICIANS' SERVICE | $21K | $0 | $21K | 5.00% |
| AMWINS3 Filed as: LISI, INC. | 1600 W HILLSDALE BLVD SAN MATEO, CA 94402 | CALIFORNIA PHYSICIANS' SERVICE | $8K | $0 | $8K | 1.82% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $680 | $0 | $680 | 5.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $399 | $0 | $399 | 2.94% |
| PAUL E GOTTLIEB3 | 9 RIVER PARK PLACE EAST SUITE 420 FRESNO, CA 93720 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $674 | $0 | $674 | 15.01% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $45 | $0 | $45 | 1.66% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 | 55 INDEPENDENCE CIR #108 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $23 | $0 | $23 | 0.85% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OAKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$90 | $0 | -$90 | -3.32% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $151 | $0 | $151 | 6.75% |
| HEALTHY SOLUTIONS INSURANCE SERVICE3 | 55 INDEPENDENCE CIR #108 CHICO, CA 95973 | AMERICAN FIDELITY ASSURANCE COMPANY | $38 | $0 | $38 | 1.70% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $29 | $0 | $29 | 1.30% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $50 | $0 | $50 | 5.12% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$41 | $0 | -$41 | -4.20% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 SUITE 420 OKLAHOMS CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $63 | $0 | $63 | 16.94% |
| PAUL E GOTTLIEB3 | 5260 N PALM AVE SUITE 215 FRESNO, CA 93704 | AMERICAN FIDELITY ASSURANCE COMPANY | $7 | $0 | $7 | 1.88% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 50 | $428K |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 46 | $446K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 16 | $7K |
| Short-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 22 | $4K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 40 | $14K |
| Other | AMERICAN FIDELITY ASSURANCE COMPANY | 16 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 50 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.