| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 0.49% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | $49K | $20K | $69K | 7.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $5K | $10K | 4.68% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $4K | $9K | 5.50% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | VISION SERVICE PLAN | $16K | — | $16K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16K | $4K | $19K | 12.25% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $1K | $4K | 8.72% |
| EMPOWER BENEFITS INC3 Filed as: EMPOWER BENEFITS CORESTREAM | 5404 CYPERSS CENTER DRIVE, STE 130 TAMPA, FL 33609 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $524 | $4K | 33.42% |
| EMPOWER BENEFITS INC3 Filed as: EMPOWER BENEFITS CORESTREAM | 5404 CYPERSS CENTER DRIVE, STE 130 TAMPA, FL 33609 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $451 | $4K | 32.25% |
| LOCKTON COMPANIES, LLC3 Filed as: THE NY SVCS OF LOCKTON COMPANIES | 1185 AVE OF AMER STUIE 2010 NEW YORK, NY 10036 | FEDERAL INSURANCE COMPANY | $2K | $362 | $3K | 28.69% |
| EMPOWER BENEFITS INC3 Filed as: EMPOWER BENEFITS CORESTREAM | 5404 CYPERSS CENTER DRIVE, STE 130 TAMPA, FL 33609 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $1K | $3K | 49.24% |
| CORESTREAM3 | 5404 CYPERSS CENTER DRIVE, STE 130 TAMPA, FL 33609 | LEGALPLANS, USA | $896 | — | $896 | 15.00% |
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 | 2,091 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,098 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 207 | $1.3M |
| Dental | AETNA LIFE INSURANCE COMPANY | 2,993 | $984K |
| Vision | VISION SERVICE PLAN | 1,894 | $161K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 4,094 | $197K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,371 | $213K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,845 | $171K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 207 | $1.3M |
| Other(7 contracts, 5 carriers) | TRIPLE-S SALUD, INC. | 4,094 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,094 | — |
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.