| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNERS INS CTR | 2000 ALAMEDA DE LAS PULGAS SAN MATEO, CA 94403 | BLUE CROSS OF CALIFORNIA | — | $6K | $6K | 0.40% |
| BRIAN BOZAJIAN3 | 1001 6TH STREET, SUITE 100 MANHATTAN BEACH, CA 90266 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 1.49% |
| FARR & ASSOCIATES INS. SERVICES3 | 996 S SEAWARD AVENUE VENTURA, CA 93001 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 1.27% |
| EXECUTIVE FINANCIAL BENE-FACTS INC3 Filed as: EXECUTIVE FINANCIAL BENEFACTS INC. | 4601 WILSHIRE BOULEVARD, SUITE 200 LOS ANGELES, CA 90010 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $406 | $7K | 1.18% |
| BRIAN BOZAJIAN3 | 1001 6TH STREET, SUITE 100 MANHATTAN BEACH, CA 90266 | METROPOLITAN LIFE INSURANCE COMPANY | $121 | — | $121 | 0.50% |
| FARR & ASSOCIATES INS. SERVICES3 | 996 S SEAWARD AVENUE VENTURA, CA 93001 | METROPOLITAN LIFE INSURANCE COMPANY | $121 | — | $121 | 0.50% |
| PETER LIZOTTE3 | 4601 WILSHIRE BLVD., SUITE 200 LOS ANGELES, CA 90010 | METROPOLITAN LIFE INSURANCE COMPANY | $117 | — | $117 | 0.49% |
| EXECUTIVE FINANCIAL BENE-FACTS INC3 Filed as: EXECUTIVE FINANCIAL BENEFACTS INC. | 4601 WILSHIRE BOULEVARD, SUITE 200 LOS ANGELES, CA 90010 | FEDERAL INSURANCE COMPANY | $1K | — | $1K | 15.05% |
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 | 599 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 621 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 120 | $1.4M |
| Dental | DELTA DENTAL OF CALIFORNIA | 585 | $617K |
| Vision | EYEMED VISION CARE | 1,425 | $55K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,107 | $632K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,107 | $632K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 120 | $1.4M |
| Other(5 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,107 | $752K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,425 | — |
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.