| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | LLC 21300 VICTORY BOULEVARD STE 635 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $272K | — | $272K | 1.50% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA GROUP INSURANCE | $170K | $50K | $220K | 1.29% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA GROUP INSURANCE | $159K | $50K | $209K | 1.31% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA GROUP INSURANCE | $117K | — | $117K | 1.00% |
| PACIFIC RES BENEFITS ADVY LLC3 | 321 N CLARK STREET SUITE 940 CHICAGO, IL 60654 | ALLSTATE INSURANCE COMPANY | $524K | — | $524K | 5.11% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES | 21300 VICTORY BOULEVARD, STE 635 WOODLAND HILLS, CA 913672525 | METROPOLITAN LIFE INSURANCE COMPANY | $79K | $35K | $114K | 2.23% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 321 N CLARK STREET STE 940 CHICAGO, IL 606545015 | METROPOLITAN LIFE INSURANCE COMPANY | $73K | $32K | $105K | 2.04% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA GROUP INSURANCE | $22K | — | $22K | 1.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 21300 VICTORY BLVD STE 635 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $89K | $0 | $89K | 4.99% |
| PACIFIC BENEFITS ADVY LLC3 | — | ALLSTATE INSURANCE COMPANY | $65K | — | $65K | 4.37% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA GROUP INSURANCE | $14K | — | $14K | 1.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 21300 VICTORY BOULEVARD STE 635 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $37K | — | $37K | 5.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 606731298 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $1K | $9K | 2.38% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | PO BOX 794381 DALLAS, TX 753794391 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $40 | $40 | 0.01% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | PO BOX 5682 CAROL STREAM, IL 60197 | CIGNA GROUP INSURANCE | $2K | $3K | $5K | 3.07% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | LLC 21300 VICTORY BOULEVARD, SUITE 635 WOODLAND HILLS, CA 91367 | GERBER LIFE AND ACCIDENT INSURANCE COMPANY | $11K | — | $11K | 15.00% |
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 | 258,455 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,183 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 259,638 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 10,418 | $52.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 19,810 | $5.1M |
| Vision(3 contracts) | VISION SERVICE PLAN | 104,962 | $20.7M |
| Life insurance(2 contracts) | CIGNA GROUP INSURANCE | 67,851 | $14.0M |
| Short-term disability(2 contracts) | CIGNA GROUP INSURANCE | 143,996 | $17.2M |
| Long-term disability | CIGNA GROUP INSURANCE | 35,631 | $15.9M |
| Prescription drug | AETNA INTERNATIONAL | 11 | $68K |
| Other(6 contracts, 6 carriers) | ALLSTATE INSURANCE COMPANY | 258,021 | $16.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 258,021 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.