| 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 | $105K | $0 | $105K | 0.91% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $59K | $0 | $59K | 0.51% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTHCARE OF CALIFORNIA | $27K | $0 | $27K | 0.86% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTHCARE OF CALIFORNIA | $15K | $0 | $15K | 0.48% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METROPOLITAN LIFE INSURANCE COMPANY | $33K | $0 | $33K | 2.79% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 SOUTH GARLAND AVENUE #203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $30K | $30K | 2.48% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | $0 | $19K | 1.57% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE ASSURANCE COMPANY OF CANADA | $27K | $0 | $27K | 4.91% |
| JOHN R. EDMONDS3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | SUN LIFE ASSURANCE COMPANY OF CANADA | $15K | $0 | $15K | 2.76% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | VISION SERVICE PLAN | $10K | $0 | $10K | 6.89% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | VISION SERVICE PLAN | $6K | $0 | $6K | 3.88% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METLIFE LEGAL PLANS | $3K | $0 | $3K | 5.94% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METLIFE LEGAL PLANS | $2K | $0 | $2K | 3.34% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $377 | $0 | $377 | 1.76% |
| JOHN R. EDMONDS3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $212 | $0 | $212 | 0.99% |
| 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 C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | LLOYD'S OF LONDON | $105 | $0 | $105 | 9.72% |
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 | 793 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 813 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 594 | $14.8M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 789 | $1.2M |
| Vision | VISION SERVICE PLAN | 808 | $143K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 826 | $557K |
| Short-term disability(2 contracts) | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | 71 | $26K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 826 | $557K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 594 | $11.6M |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 826 | $623K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 826 | — |
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.