| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | PO BOX 101162 PASADENA, CA 91189 | AETNA LIFE INSURANCE CO. | $124K | $31K | $156K | 2.48% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | PO BOX 101162 PASADENA, CA 91189 | VISION SERVICE PLAN | $9K | — | $9K | 10.00% |
| LTCI PARTNERS LLC3 | 100 FIELD DR STE 310 LAKE FOREST, IL 60045 | GENWORTH LIFE INSURANCE COMPANY | $5K | — | $5K | 10.95% |
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 | 643 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 662 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 1,383 | $9.7M |
| Dental | AETNA LIFE INSURANCE CO. | 1,383 | $6.3M |
| Vision | VISION SERVICE PLAN | 660 | $89K |
| Life insurance | AETNA LIFE INSURANCE CO. | 1,383 | $6.3M |
| Short-term disability | AETNA LIFE INSURANCE CO. | 1,383 | $6.3M |
| Long-term disability | AETNA LIFE INSURANCE CO. | 1,383 | $6.3M |
| Other(4 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 1,383 | $6.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,383 | — |
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."
No prospect flags tripped on this filing.