| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCEASSIST, INC.3 | 3480 TORRANCE BOULEVARD TORRANCE, CA 90503 | AETNA LIFE INSURANCE COMPANY | $120K | $10K | $130K | 3.19% |
| DAVID SCOTT KOUSHEL3 Filed as: DAVID T THOMAS | 14614 N KIERLAND BLVD SUITE N220 SCOTTSDALE, AZ 85254 | AETNA LIFE INSURANCE COMPANY | $58K | — | $58K | 1.42% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST CARMEL, IN 46032 | AETNA LIFE INSURANCE COMPANY | $37K | — | $37K | 0.91% |
| INSURANCEASSIST, INC.3 | 3480 TORRANCE BOULEVARD TORRANCE, CA 90503 | AETNA HEALTH, INC. | $17K | — | $17K | 3.14% |
| DAVID SCOTT KOUSHEL3 Filed as: DAVID T THOMAS | 14614 N. KIERLAND BLVD SUITE N220 SCOTTSDALE, AZ 85254 | AETNA HEALTH, INC. | $7K | — | $7K | 1.27% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST CARMEL, IN 46032 | AETNA HEALTH, INC. | $4K | — | $4K | 0.74% |
| INSURANCEASSIST, INC.3 | 3480 TORRANCE BOULEVARD TORRANCE, CA 90503 | DELTA DENTAL OF CALIFORNIA | $26K | — | $26K | 7.36% |
| DAVID SCOTT KOUSHEL3 Filed as: DAVID T THOMAS | 14614 N KIERLAND BLVD SUITE N220 SCOTTSDALE, AZ 85254 | DELTA DENTAL OF CALIFORNIA | $15K | — | $15K | 4.32% |
| INSURANCEASSIST, INC.3 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $3K | $9K | 12.15% |
| CAPITAL FINANCIAL PLC3 | 14614 N KIERLAND BLVD STE N230 SCOTTSDALE, AZ 85254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | — | $8K | 10.70% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST STE 700 CARMEL, IN 46032 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 6.19% |
| INSURANCEASSIST, INC.5 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 2.70% |
| INSURANCEASSIST, INC.3 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $3K | $5K | 13.44% |
| CAPITAL FINANCIAL PLC3 | 14614 N KIERLAND BLVD STE N230 SCOTTSDALE, AZ 85254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.54% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST STE 700 CARMEL, IN 46032 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.78% |
| INSURANCEASSIST, INC.5 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 10.04% |
| INSURANCEASSIST, INC.3 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $3K | $4K | 15.88% |
| CAPITAL FINANCIAL PLC3 | 14614 N KIERLAND BLVD STE N230 SCOTTSDALE, AZ 85254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.47% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST STE 700 CARMEL, IN 46032 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.72% |
| INSURANCEASSIST, INC.3 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $994 | $3K | $4K | 21.86% |
| CAPITAL FINANCIAL PLC3 | 14614 N KIERLAND BLVD STE N230 SCOTTSDALE, AZ 85254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.10% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST STE 700 CARMEL, IA 46032 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $691 | — | $691 | 3.65% |
| INSURANCEASSIST, INC.3 Filed as: INSURANCEASSIST, INC | 3480 TORRANCE BLVD STE 110 TORRANCE, CA 90503 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $804 | $3K | $4K | 24.53% |
| CAPITAL FINANCIAL PLC3 | 14614 N KIERLAND BLVD STE N230 SCOTTSDALE, AA 85254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $979 | — | $979 | 6.17% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 11711 N MERIDIAN ST STE 700 CARMEL, IN 46032 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $599 | — | $599 | 3.77% |
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 | 731 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 736 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 651 | $4.6M |
| Dental | DELTA DENTAL OF CALIFORNIA | 588 | $356K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 731 | $48K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 625 | $102K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 362 | $89K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 136 | $30K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 651 | $4.6M |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 625 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 731 | — |
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.