| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LORI URIAS INSURANCE SERVICES INC3 Filed as: LORI URIAS | PO BOX 6279 VISALIA, CA 93290 | STANDARD INSURANCE COMPANY | $11K | — | $11K | 6.87% |
| LORI URIAS INSURANCE SERVICES INC3 Filed as: LORI URIAS INSURANCE SERVICES,INC | 5120 W SAN JOAQUIN DRIVE VISALIA, CA 93277 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 4.28% |
| LORI URIAS INSURANCE SERVICES INC3 Filed as: LORI URIAS | PO BOX 6279 VISALIA, CA 93290 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 7.79% |
| LORI URIAS INSURANCE SERVICES INC3 Filed as: LORI URIAS INSURANCE SERVICES,INC | 5120 W SAN JOSE DRIVE VISALIA, CA 93277 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 4.36% |
| LORI URIAS INSURANCE SERVICES INC3 Filed as: LORI URIAS | PO BOX 6279 VISALIA, CA 93290 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 8.06% |
| LORI URIAS INSURANCE SERVICES INC3 Filed as: LORI URIAS INSURANCE SERVICES,INC | 5120 W SAN JOAQUIN DRIVE VISALIA, CA 93277 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 4.26% |
| NATIONAL UNDERWRITING SERVICES0 | 14893 S.H 16 NORTH #1 HELOTES, TX 78023 | NATIONAL UNDERWRITING SERVICES | $349K | — | $349K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NATIONAL UNDERWRITING SERVICES EIN 76-0168793 STOP - LOSS CARRIER | Other fees Service code 99 | 14893 S.H 16 NORTH #1 HELOTES, TX 78023 | $349K |
| TRANSWESTERN INSURANCE ADMIN EIN 77-0118024 CONTRACT ADMIN | Contract Administrator Service code 13 | P.O BOX 9817 FRESNO, CA 93794 | $53K |
| LORI URIAS INSURANCE SERVICES,INC BROKER | Insurance agents and brokers Service code 22 | 5120 W SAN JOAQUIN DRIVE VISALIA, CA 93277 | $21K |
| MULTIPLAN, INC EIN 13-3068979 CONTRACT PROVIDER | Other fees Service code 99 | P.O BOX 29380 NEW YORK, NY 10087 | $14K |
| LORI URIAS BROKER | Insurance agents and brokers Service code 22 | PO BOX 6279 VISALIA, CA 93290 | $14K |
| PAYER COMPASS, LLC CONTRACT PROVIDER | Other fees Service code 99 | 5800 GRANITE PARKWAY STE.450 PLANO, TX 75024 | $8K |
| SMITH BOMAN & ASSOCIATES EIN 94-2911577 BROKER | Insurance agents and brokers Service code 22 | 955 N STREET FRESNO, CA 93721 | $6K |
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 | 240 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NATIONAL UNDERWRITING SERVICES | 0 | $0 |
| Dental | STANDARD INSURANCE COMPANY | 280 | $164K |
| Vision | STANDARD INSURANCE COMPANY | 281 | $29K |
| Life insurance | STANDARD INSURANCE COMPANY | 419 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 419 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.