| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HORSTMANN FINANCIAL & INSURANCE SER3 Filed as: HORSTMANN FINANCIAL & INSURANCE | 205 E RIVER PARK CIRCLE SUITE 220 FRESNO, CA 93720 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $34K | $0 | $34K | 4.23% |
| HORSTMANN FINANCIAL & INSURANCE SER3 Filed as: HORSTMANN FINANCIAL & INSURANCE | 205 E RIVER PARK CIRCLE SUITE 220 FRESNO, CA 93720 | PRINCIPAL LIFE INSURANCE COMPANY | $13K | $689 | $14K | 7.28% |
| JENNIFER D. WILLIAMS3 | 1350 E SPRUCE AVENUE SUITE 100 FRESNO, CA 93720 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.13% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD AND BROWN BENEFIT ADMINS | 721 S PARKER STREET SUITE 300 ORANGE, CA 92868 | PRINCIPAL LIFE INSURANCE COMPANY | $777 | $0 | $777 | 0.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORSTMANN FINANCIAL & INSURANCE ADMINISTRATORS | Contract Administrator Service code 13 | 205 RIVER PARK CIRCLE SUITE 220 FRESNO, CA 93720 | $48K |
| JENNIFER D. WILLIAMS ADMINISTRATORS | Contract Administrator Service code 13 | 1350 E SPRUCE AVENUE SUITE 100 FRESNO, CA 93720 | $2K |
| WORD AND BENEFIT ADMINISTRATORS INC ADMINISTRATORS | Contract Administrator Service code 13 | 721 S PARKER STREET SUITE 300 ORANGE, CA 92868 | $777 |
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 | 136 | 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) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 134 | $796K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 222 | $191K |
| Vision(2 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 222 | $987K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 222 | $191K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 222 | $191K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 222 | $191K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 222 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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.