| 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 | $118K | $0 | $118K | 0.91% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $66K | $0 | $66K | 0.51% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTHCARE OF CALIFORNIA | $29K | $0 | $29K | 0.86% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTHCARE OF CALIFORNIA | $16K | $0 | $16K | 0.48% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METROPOLITAN LIFE INSURANCE COMPANY | $40K | $0 | $40K | 3.58% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 SOUTH GARLAND AVENUE #203 ORLANDO, CA 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $35K | $35K | 3.12% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $0 | $22K | 2.02% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE ASSURANCE COMPANY OF CANADA | $25K | $0 | $25K | 4.16% |
| JOHN R. EDMONDS3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | SUN LIFE ASSURANCE COMPANY OF CANADA | $14K | $0 | $14K | 2.34% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | VISION SERVICE PLAN | $10K | $0 | $10K | 6.87% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | VISION SERVICE PLAN | $6K | $0 | $6K | 3.86% |
| SYNERGY ENROLLMENT AND BENEFITS LLC3 Filed as: SYNERGY ENROLLMENT & BENEFITS | 9370 SKY PARK COURT #250 SAN DIEGO, CA 92123 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $34K | $0 | $34K | 35.37% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 10.32% |
| JOHN R. EDMONDS3 | 1525 NELSON AVENUE MANHATTAN BEACH, CA 90266 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 8.01% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METLIFE LEGAL PLANS | $3K | $0 | $3K | 6.11% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METLIFE LEGAL PLANS | $2K | $0 | $2K | 4.85% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $491 | $0 | $491 | 2.13% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $276 | $0 | $276 | 1.20% |
| 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 | $462 | $0 | $462 | 9.60% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | FOUR EVER LIFE INSURANCE COMPANY | $260 | $0 | $260 | 5.40% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | LLOYD'S OF LONDON | $169 | $0 | $169 | 9.66% |
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 | 902 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 26 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 933 | 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 | 636 | $16.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 882 | $1.1M |
| Vision | VISION SERVICE PLAN | 865 | $146K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 887 | $605K |
| Short-term disability(3 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 315 | $124K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 887 | $605K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 636 | $13.0M |
| Other(5 contracts, 5 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 887 | $763K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 887 | — |
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.