| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INSURANCE | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | RXBENEFITS, INC. | $898 | $0 | $898 | 0.41% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INSURANCE | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $0 | $9K | 10.21% |
| AMWINS3 Filed as: LISI LLC | 1600 WEST HILLSDALE BOULEVARD SUITE 201 SAN MATEO, CA 94402 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $3K | $8K | 8.85% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INSURANCE | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | LIFE INSURNACE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 9.35% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INSURANCE | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $856 | $0 | $856 | 5.24% |
| ALAINE SHARON VANNESS3 | 1217 SOUTH SCHOOL STREET LODI, CA 95203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $572 | $0 | $572 | 3.50% |
| TOUCH KEO3 | 117 ELLEN AVENUE MODESTO, CA 95351 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | $0 | $195 | 1.19% |
| BETH A. GRIFFIN3 Filed as: BETH ANN HESTER | 739 EVERGREEN WAY MANTECA, CA 95336 | CONTINENTAL AMERICAN INSURANCE COMPANY | $120 | $0 | $120 | 0.73% |
| IRENDA YAMARIS DE LA CRUZ3 | 652 SOUTH CENTRAL PARKWAY MOUNTAIN HOUSE, CA 95391 | CONTINENTAL AMERICAN INSURANCE COMPANY | $84 | $0 | $84 | 0.51% |
| LAURALYNE BOONE3 Filed as: LAURALYNE ELAINE BOONE | 664 ARNETT WAY GALT, CA 95632 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | $0 | $24 | 0.15% |
| SERAPIO MARCELINO NAMBO3 | 3151 34TH AVENUE SACRAMENTO, CA 95824 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.04% |
| LEAVITT GROUP3 Filed as: LEAVITT CENTRAL COAST INSURANCE | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | MANAGED HEALTH NETWORK | $205 | $0 | $205 | 5.00% |
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 | 164 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 215 | $86K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 215 | $86K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 215 | $86K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 26 | $16K |
| Long-term disability | LIFE INSURNACE COMPANY OF NORTH AMERICA | 164 | $18K |
| Prescription drug | RXBENEFITS, INC. | 99 | $221K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 215 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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.