| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SMO FINANCIAL AND INSURANCE SERVICE3 | 3435 OCEAN PARK BLVD, SUITE 107-500 SANTA MONICA, CA 90405 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $101K | — | $101K | 5.44% |
| SMO FINANCIAL & INSURANCE SERVICES3 | 3435 OCEAN PARK BLVD.-STE 107 500 SANTA MONICA, CA 90405 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 14.91% |
| SMO FINANCIAL AND INSURANCE SERVICE3 | 3435 OCEAN PARK BLVD, SUITE 107 500 SANTA MONICA, CA 90405 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| SMO FINANCIAL & INSURANCE SERVICES3 | 3435 OCEAN PARK BLVD.-STE. 107 500 SANTA MONICA, CA 90405 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 6000 FREEDOM SQUARE DR. - #400 INDEPENDENCE, OH 44131 | FEDERAL INSURANCE COMPANY | — | $140 | $140 | 4.12% |
| SMO FINANCIAL & INSURANCE SERVICES3 | 3435 OCEAN PARK BLVD-SUITE 107 500 SANTA MONICA, CA 90405 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $523 | — | $523 | 15.57% |
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 | 118 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 118 | $1.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 112 | $1.9M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 112 | $1.9M |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 118 | $24K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 118 | $10K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 118 | $15K |
| Other(2 contracts, 2 carriers) | FEDERAL INSURANCE COMPANY | 118 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 118 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.