| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $41K | $41K | 1.18% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $61 | $61 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 10087 | HARTFORD LIFE AND ACCIDENT | — | $75K | $75K | 2.76% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $8K | $8K | 1.17% |
| WILLIS TOWERS WATSON US LLC3 | PO BOX 28852 NEW YORK, NY 10087 | METROPOLITAN LIFE INSURANCE COMPANY | — | $61 | $61 | 0.01% |
| BARENS, KRISTIN, LUCILLE3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE INSURANCE COMPANY | $22K | $24K | $46K | 20.82% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE INSURANCE COMPANY | $17K | $7K | $24K | 10.88% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST-STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE INSURANCE COMPANY | — | $6K | $6K | 2.70% |
| MULLIN BARENS SANFORD FINANCIAL3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE INSURANCE COMPANY | — | $5K | $5K | 2.45% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 11.18% |
| BARENS, KRISTIN, LUCILLE3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 5.40% |
| PEACOOK, GEORGE, JOSEPH3 | 3624 RAYMOND ST CHEVY CHASE, MD 20815 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $373 | — | $373 | 0.81% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE INSURANCE COMPANY | $590 | $320 | $910 | 16.44% |
| BARENS, KRISTIN, LUCILLE3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE INSURANCE COMPANY | $473 | $285 | $758 | 13.70% |
| M FINANCIAL HOLDING INC3 | 1125 NW COUCH ST-STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE INSURANCE COMPANY | — | $163 | $163 | 2.95% |
| MULLIN BARENS SANFORD FINANCIAL3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE INSURANCE COMPANY | — | $116 | $116 | 2.10% |
| MULLIN BARENS SANFORD FINANCIAL3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $621 | $175 | $796 | 14.76% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $413 | $176 | $589 | 10.92% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST-STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $159 | $159 | 2.95% |
| MULLINTBG INSURANCE AGENCY SERVICES3 | 33174 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $73 | $47 | $120 | 16.85% |
| BARENS, KRISTIN, LUCILLE3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $73 | $23 | $96 | 13.48% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH STREET STE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $22 | $22 | 3.09% |
| MULLIN BARENS SANFORD FINANCIAL3 | 3719 SANTA CLAUS LN CARPINTERIA, CA 93013 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $17 | $17 | 2.39% |
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 | 7,481 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 337 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 545 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 13 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 8,376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | 1,051 | $5.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 2,292 | $485K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 13,639 | $3.5M |
| Long-term disability(6 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 7,504 | $3.0M |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 8,345 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,639 | — |
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.