| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAUL E GOTTLIEB3 Filed as: PAUL ERWIN GOTTILIEB | 2126 INYO STREET FRESNO, CA 937212611 | SYMETRA LIFE INSURANCE COMPANY | $49K | $14K | $63K | 12.95% |
| PAUL GOTTLIEB3 | 8050 N. PALM AVENUE, #300 FRESNO, CA 937115510 | KAISER FOUNDATION HEALTH PLAN INC. | $5K | — | $5K | 3.97% |
| GOTTLIEB INSURANCE SERVICES3 Filed as: GOTTLIEB, PAUL ERWIN | 9 RIVER PARK PLACE EAST, #420 FRESNO, CA 93720 | SYMETRA LIFE INSURANCE COMPANY | $10K | — | $10K | 13.52% |
| PAUL E GOTTLIEB3 Filed as: PAUL ERWIN GOTTLIEB | 9 RIVER PARK PLACE EAST, #420 FRESNO, CA 93720 | SYMETRA LIFE INSURANCE COMPANY | — | $3K | $3K | 4.19% |
| PAUL GOTTLIEB5 | 9 RIVER PARK PACE E., #420 FRESNO, CA 93720 | MES VISION | — | $1K | $1K | 6.81% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 18 | $118K |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 205 | $106K |
| Vision | MES VISION | 132 | $20K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 137 | $71K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 137 | $71K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 106 | $489K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 137 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 205 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.