| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBYN L PIPER3 | 12520 HIGH BLUFF DR SUITE 240 SAN DIEGO, CA 921302062 | RELIASTAR LIFE INSURANCE COMPANY | $35K | $0 | $35K | 1.65% |
| ROBYN PIPER3 | 2300 W SAHARA AVE SUITE 800 LAS VEGAS, NV 891024397 | VISION SERVICE PLAN | $2K | $0 | $2K | 0.32% |
| VIDAL & RODRIGUEZ3 | CAPITAL CENTER BUILDING 239 ARTERIAL HOSTOS AVE., STE. 501 SAN JUAN, PR 00918 | TRIPLE S SALUD, INC. | $30K | $0 | $30K | 5.00% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | FEDERAL INSURANCE COMPANY | $16K | $0 | $16K | 20.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER INTERNATIONAL BENEFITS | 160 GUTHRIE LANE SUITE 22 BRENTWOOD, CA 94513 | FEDERAL INSURANCE COMPANY | $12K | $0 | $12K | 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 | 4,239 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 83 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,322 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC. | 88 | $600K |
| Dental | TRIPLE S SALUD, INC. | 88 | $600K |
| Vision | VISION SERVICE PLAN | 3,751 | $707K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 7,997 | $2.1M |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 7,997 | $2.1M |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 7,997 | $2.1M |
| Prescription drug | TRIPLE S SALUD, INC. | 88 | $600K |
| Other(3 contracts, 3 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 8,980 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,980 | — |
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.