| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | UNITED HEALTHCARE INSURANCE COMPANY | $34K | — | $34K | 6.17% |
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $1K | $7K | 10.00% |
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $633 | $3K | 15.00% |
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $483 | $3K | 18.00% |
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $352 | $2K | 14.99% |
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| SELDON BRUSA INSURANCE AGENCY3 | 1100 W. TOKAY STREET, SUITE B LODI, CA 95240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $309 | $77 | $386 | 14.99% |
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 | 141 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 124 | $544K |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 109 | $71K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $10K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 141 | $19K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 73 | $21K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 138 | $12K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 141 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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.