| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FBP INSURANCE SERVICES3 | 130 THEORY STE 200 IRVINE, CA 92617 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 0.87% |
| F.B.P. INSURANCE SERVICES, LLC3 Filed as: F.B.P. INSURANCE SERVICES, INC. | 130 THOERY STE 200 IRVINE, CA 926173065 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 2.39% |
| PRECEPT INSURANCE SOLUTIONS3 | 130 THEORY STREET, SUITE 200 IRVINE, CA 92617 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $21K | — | $21K | 10.09% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | 3605 GLENWOOD AVE RALEIGH, NC 27612 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $799 | — | $799 | 0.39% |
| PRECEPT INSURANCE SOLUTIONS3 | 130 THOERY SUITE 200 IRVINE, CA 92617 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $9K | — | $9K | 10.09% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES | 3605 GLENWOOD AVE RALEIGH, NC 27612 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $373 | $373 | 0.40% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | FLOOR 12 50 CALIFORNIA STREET SAN FRANCISCO, CA 94111 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $182 | — | $182 | 2.51% |
| F.B.P. INSURANCE SERVICES, LLC3 | 130 THEORY STREET, SUITE 200 IRVINE, CA 92617 | HYATT LEGAL PLANS | $530 | — | $530 | 10.95% |
| PRECEPT INSURANCE SOLUTIONS3 | 130 THEORY SUITE 200 IRVINE, CA 92617 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $56 | — | $56 | 10.39% |
| PRECEPT INSURANCE SOLUTIONS3 | 130 THEORY SUITE 200 IRVINE, CA 92617 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $13 | — | $13 | 10.66% |
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 | 298 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 304 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 54 | $308K |
| Dental | AETNA LIFE INSURANCE COMPANY | 783 | $423K |
| Vision | VISON SERVICE PLAN | 251 | $51K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 303 | $205K |
| Short-term disability(2 contracts) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 2 | $661 |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 304 | $94K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 54 | $308K |
| Other(3 contracts, 3 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 352 | $217K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 783 | — |
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.