| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS3 Filed as: AMWINS CONNECT INS. SERVICES, LLC | 1600 WEST HILLSDALE BOULEVARD SUITE 201 SAN MATEO, CA 94402 | CALIFORNIA PHYSICIANS SERVICE | $0 | $31K | $31K | 1.89% |
| LP INSURANCE SERVICES, INC.3 | 300 EAST 2ND STREET, SUITE 1300 RENO, CA 89501 | CALIFORNIA PHYSICIANS SERVICE | $0 | $31K | $31K | 1.89% |
| ASSUREDPARTNERS3 | 5985 HOME GARDENS DRIVE, SUITE A RENO, NV 89502 | CALIFORNIA PHYSICIANS SERVICE | $0 | $16K | $16K | 0.95% |
| ASSUREDPARTNERS3 | 5985 HOME GARDENS DRIVE, SUITE A RENO, NV 89502 | HOMETOWN HEALTH | $9K | $0 | $9K | 2.31% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY WEST VEVA 16 SUITE 320 BLUE BELL, PA 19422 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 3.86% |
| LP INSURANCE SERVICES, INC.3 | 300 EAST 2ND STREET, SUITE 1300 RENO, CA 89501 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 3.61% |
| ASSUREDPARTNERS3 | 5370 KIETZKE LANE, SUITE 100 RENO, NV 89511 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.91% |
| LP INSURANCE SERVICES, INC.3 | 300 EAST 2ND STREET, SUITE 1300 RENO, CA 89501 | STANDARD INSURANCE COMPANY | $5K | $2K | $7K | 9.15% |
| ASSUREDPARTNERS3 | 3012 WEST CHARLETSON BOULEVARD SUITE 150 LAS VEGAS, NV 89102 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 2.46% |
| LLOYD BARNES3 | 300 EAST 2ND STREET, SUITE 1300 RENO, NV 89501 | KANSAS CITY LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.95% |
| BRITTANY FACCINETTI3 | 5370 KIETZKE LANE, SUITE 100 RENO, NV 89511 | KANSAS CITY LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.72% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY WEST, SUITE 320 BLUE BELL, NV 19422 | PRINCIPAL LIFE INSURANCE COMPANY | $727 | $978 | $2K | 7.48% |
| LP INSURANCE SERVICES, INC.3 | 300 EAST 2ND STREET, SUITE 1300 RENO, CA 89501 | PRINCIPAL LIFE INSURANCE COMPANY | $719 | $132 | $851 | 3.73% |
| ASSUREDPARTNERS3 | 375 EAST WARM SPRINGS ROAD SUITE 201 LAS VEGAS, NV 89119 | PRINCIPAL LIFE INSURANCE COMPANY | $424 | $0 | $424 | 1.86% |
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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 195 | $2.0M |
| Dental(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 92 | $169K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 254 | $23K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 92 | $186K |
| Short-term disability | STANDARD INSURANCE COMPANY | 45 | $75K |
| Long-term disability | STANDARD INSURANCE COMPANY | 45 | $75K |
| Prescription drug(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 195 | $2.0M |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 92 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.