| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $107K | $0 | $107K | 0.92% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $60K | $0 | $60K | 0.52% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTHCARE OF CALIFORNIA | $26K | $0 | $26K | 0.87% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTHCARE OF CALIFORNIA | $14K | $0 | $14K | 0.49% |
| THOMAS MEANS3 Filed as: THOMAS SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METROPOLITAN LIFE INSURANCE COMPANY | $41K | $0 | $41K | 3.98% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 SOUTH GARLAND AVENUE #203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $36K | $36K | 3.56% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | $0 | $23K | 2.24% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE ASSURANCE COMPANY OF CANADA | $30K | $0 | $30K | 6.10% |
| JOHN R. EDMONDS3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | SUN LIFE ASSURANCE COMPANY OF CANADA | $17K | $0 | $17K | 3.43% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | VISION SERVICE PLAN | $5K | $0 | $5K | 3.43% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | VISION SERVICE PLAN | $5K | $0 | $5K | 3.38% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METLIFE LEGAL PLANS | $3K | $0 | $3K | 6.42% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METLIFE LEGAL PLANS | $2K | $0 | $2K | 3.61% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $400 | $0 | $400 | 2.52% |
| JOHN R. EDMONDS3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $225 | $0 | $225 | 1.42% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $797 | $0 | $797 | 9.60% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $448 | $0 | $448 | 5.40% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | FOUR EVER LIFE INSURANCE COMPANY | $607 | $0 | $607 | 9.60% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | FOUR EVER LIFE INSURANCE COMPANY | $341 | $0 | $341 | 5.39% |
| THOMAS MEANS3 Filed as: THOMAS SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | LLOYD'S OF LONDON | $102 | $0 | $102 | 9.71% |
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 | 789 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 13 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 809 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 823 | $14.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 815 | $1.0M |
| Vision | VISION SERVICE PLAN | 795 | $149K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 823 | $486K |
| Short-term disability(2 contracts) | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 80 | $19K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 823 | $486K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 589 | $11.6M |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 823 | $544K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 823 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.