| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: NORTH MURRAY & ASSOCIATES INC. | 1971 E 4TH STREET SUITE 290 SANTA ANA, CA 92705 | HEALTH PLAN OF NEVADA | $27K | — | $27K | 5.74% |
| ANDREINI & COMPANY3 | 220 W 20TH AVE SAN MATEO, CA 944031339 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 1.88% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | 5.21% |
| CA TRUCKING ASSOCIATION3 | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $2K | $2K | 2.20% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P O BOX 25360 OKLAHOMA, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $734 | — | $734 | 7.68% |
| CA TRUCKING ASSOCIATION3 | 4148 E COMMERCE WAY SACRAMENTO, CA 95834 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $242 | $242 | 2.53% |
| AXA ASSISTANCE, USA | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL | — | $97 | $97 | 3.93% |
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 | 314 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH PLAN OF NEVADA | 88 | $477K |
| Dental | STANDARD INSURANCE COMPANY | 184 | $158K |
| Vision | STANDARD INSURANCE COMPANY | 184 | $158K |
| Life insurance | PRUDENTIAL | 314 | $43K |
| Short-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 65 | $94K |
| Long-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 65 | $94K |
| Prescription drug | HEALTH PLAN OF NEVADA | 88 | $477K |
| Other(3 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 336 | $96K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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."
No prospect flags tripped on this filing.