| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS. SVCES., | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | KAISER FOUNDATION HEALTH PLAN INC | $29K | $4K | $32K | 5.04% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS. SVCES., | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 2.99% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS. SVCES., | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | $0 | $4K | 6.87% |
| AMWINS3 Filed as: LISI INC. | 1600 WEST HILLSDALE BOULEVARD SUITE 201 SAN MATEO, CA 94402 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $0 | $1K | 2.29% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS. SVCES., | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 19.48% |
| LEAVITT GROUP3 | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 10.46% |
| EMPLOYEE CHOICE SOLUTIONS3 Filed as: EMPLOYEE CHOICE SOLUTIONS, INC. | 216 SOUTH 200 WEST CEDAR CITY, UT 84720 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $168 | $168 | 0.89% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS. SVCES., | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | VISION SERVICE PLAN | $815 | $0 | $815 | 6.90% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INS. SVCES., | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 59.99% |
| EMPLOYEE CHOICE SOLUTIONS3 Filed as: EMPLOYEE CHOICE SOLUTIONS, INC. | 216 SOUTH 200 WEST CEDAR CITY, UT 84720 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $124 | $124 | 3.00% |
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 | 90 | 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) | 91 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 128 | $703K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $131K |
| Vision | VISION SERVICE PLAN | 82 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 85 | $19K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 9 | $4K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 128 | $703K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 85 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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.