| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN MOODY3 Filed as: JOHN M . MOODY | 3480 TORRANCE BLVD. STE 301 TORRANCE, CA 90503 | CALIFORNIA PHYSICIAN'S SERVICE | — | $74K | $74K | 5.43% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS LLC | 1600 W HILLSDALE BLVD STE 201 SAN MATEO, CA 94402 | CALIFORNIA PHYSICIAN'S SERVICE | — | $29K | $29K | 2.11% |
| JOHN MOODY3 Filed as: JOHN M . MOODY | 3480 TORRANCE BLVD. STE 301 TORRANCE, CA 90503 | SUN LIFE ASSURANCE CO OF CANADA | $11K | — | $11K | 8.37% |
| JOHN MOODY3 Filed as: JOHN M . MOODY | 3480 TORRANCE BLVD. STE 301 TORRANCE, CA 90503 | UNUM LIFE INS CO OF AMERICA | $1K | — | $1K | 1.48% |
| JOHN MOODY3 Filed as: JOHN M . MOODY | 3480 TORRANCE BLVD. STE 301 TORRANCE, CA 90503 | STARMOUNT LIFE INSURANCE COMPANY | $2K | — | $2K | 12.68% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINSTRATORS | POBOX 1313 ORLANDO, FL 32802 | STARMOUNT LIFE INSURANCE COMPANY | $603 | — | $603 | 3.17% |
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 | 225 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 225 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIAN'S SERVICE | 225 | $1.4M |
| Dental | SUN LIFE ASSURANCE CO OF CANADA | 106 | $134K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 121 | $19K |
| Life insurance | UNUM LIFE INS CO OF AMERICA | 1,041 | $91K |
| Prescription drug | CALIFORNIA PHYSICIAN'S SERVICE | 225 | $1.4M |
| Other | UNUM LIFE INS CO OF AMERICA | 1,041 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,041 | — |
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.