| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | $41K | $59 | $41K | 5.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | KAISER FOUNDATIOH HEALTH PLAN INC | $3K | $5K | $8K | 1.43% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $3K | $9K | 4.38% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16K | $3K | $19K | 11.78% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $2K | $8K | 5.37% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | VISION SERVICE PLAN | $15K | — | $15K | 10.75% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $656 | $3K | 8.76% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NE | 200 LIBERTY STREET NEW YORK, NY 10281 | FEDERAL INSURANCE COMPANY | $964 | — | $964 | 25.00% |
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 | 1,829 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,848 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATIOH HEALTH PLAN INC | 140 | $651K |
| Dental | AETNA LIFE INSURANCE COMPANY | 2,976 | $825K |
| Vision | VISION SERVICE PLAN | 1,845 | $142K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,086 | $195K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,381 | $194K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,491 | $156K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATIOH HEALTH PLAN INC | 140 | $651K |
| Other(3 contracts, 3 carriers) | TRIPLE-S SALUD, INC. | 3,086 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,086 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.