| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B ST 6TH FL SAN DIEGO, CA 92101 | METROPOLITAN LIFE INSURANCE COMPANY | $16K | — | $16K | 10.93% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $25K | — | $25K | 22.93% |
| THE JELLYVISION LAB, INC.3 | PO BOX 8900 CAROL STREAM, IL 60197 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 2.29% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $25K | — | $25K | 22.88% |
| THE JELLYVISION LAB, INC.3 | PO BOX 8900 CAROL STREAM, IL 60197 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 2.33% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $24K | — | $24K | 22.90% |
| THE JELLYVISION LAB, INC.3 | PO BOX 8900 CAROL STREAM, IL 60197 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $3K | $3K | 2.40% |
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 | 1,301 | 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) | 1,301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 1,009 | $527K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,502 | $142K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,301 | $267K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,301 | $431K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,301 | $219K |
| Other(5 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,301 | $640K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,502 | — |
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.