| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GILBERT INSURANCE AGENCY INC3 Filed as: GILBERT INSURANCE SERVICES, INC. | 9454 WILSHIRE BLVD., SUITE 510 BEVERLY HILLS, CA 90212 | JOHN HANCOCK LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| GILBERT INSUARANCE SERVICES, INC.3 | 9454 WILSHIRE BLVD., SUITE 510 BEVERLY HILLS, CA 90212 | PRINCIPAL LIFE INSURANCE COMPANY | $87 | — | $87 | — |
| GILBERT INSURANCE AGENCY INC3 Filed as: GILBERT INSURANCE SERVICES, INC. | 9454 WILSHIRE BLVD., SUITE 510 BEVERLY HILLS, CA 90212 | EQUITABLE | $221 | — | $221 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE WEALTH COLLABORATIVE, INC. EIN 26-0141151 INVESTMENT ADVISOR | Direct payment from the plan; Investment advisory (participants); Investment advisory (plan); Investment management Service code 26 | — | $124K |
| ONEAMERICA RETIREMENT SERVICES LLC EIN 46-5378846 RECORDKEEPER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Direct payment from the plan; Participant communication; Recordkeeping fees; Participant loan processing Service code 15 | — | $81K |
| ACTUARIES UNLIMITED, INC. EIN 95-3654973 TPA | Actuarial Service code 11 | — | $59K |
| MATRIX TRUST COMPANY EIN 75-3182674 CUSTODIAL | Custodial (securities); Float revenue; Trustee (directed); Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $0 |
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 | 647 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 224 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 871 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 3 carriers) | JOHN HANCOCK LIFE INSURANCE COMPANY | 3 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3 | — |
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.