| 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 | $110K | $0 | $110K | 0.75% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $100K | $0 | $100K | 0.68% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTHCARE OF CALIFORNIA | $27K | $0 | $27K | 0.70% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | CIGNA HEALTHCARE OF CALIFORNIA | $24K | $0 | $24K | 0.64% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 SOUTH GARLAND AVENUE, SUITE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $23K | $28K | 3.08% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | $0 | $21K | 2.24% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | $0 | $19K | 2.09% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE ASSURANCE COMPANY OF CANADA | $33K | $0 | $33K | 4.42% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET SANTA ANA, CA 92705 | SUN LIFE ASSURANCE COMPANY OF CANADA | $28K | $0 | $28K | 3.83% |
| SYNERGY ENROLLMENT AND BENEFITS LLC3 Filed as: SYNERGY ENROLLMENT & BENEFITS | 9370 SKY PARK COURT, SUITE 250 SAN DIEGO, CA 92123 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $29K | $0 | $29K | 4.70% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $24K | $0 | $24K | 3.91% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET EL SEGUNDO, CA 90245 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $15K | $0 | $15K | 2.45% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 1600 WEST HILLSDALE BOULEVARD #201 SAN MATEO, CA 94402 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $13K | $0 | $13K | 2.12% |
| JOHN R. EDMONDS3 | 1525 NELSON AVENUE MANHATTAN BEACH, CA 90266 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 1.46% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | VISION SERVICE PLAN | $8K | $0 | $8K | 4.74% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET SANTA ANA, CA 92705 | VISION SERVICE PLAN | $7K | $0 | $7K | 4.51% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | METLIFE LEGAL PLANS | $3K | $0 | $3K | 3.83% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET SANTA ANA, CA 92705 | METLIFE LEGAL PLANS | $3K | $0 | $3K | 3.83% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $231 | $0 | $231 | 1.44% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET SANTA ANA, CA 92705 | SUN LIFE AND HEALTH INSURANCE COMPANY (U.S.) | $231 | $0 | $231 | 1.44% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $622 | $0 | $622 | 7.49% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET SANTA ANA, CA 92705 | NEW YORK LIFE GROUP BENEFIT SOLUTIONS | $622 | $0 | $622 | 7.49% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | FOUR EVER LIFE INSURANCE COMPANY | $361 | $0 | $361 | 7.50% |
| EDMONDS INSURANCE SERVICES, INC.3 | 126 LOMITA STREET SANTA ANA, CA 92705 | FOUR EVER LIFE INSURANCE COMPANY | $361 | $0 | $361 | 7.50% |
| THOMAS MEANS3 Filed as: THOMAS C. SEIGNER | 2024 WOODBURN AVENUE WESTLAKE VILLAGE, CA 91361 | LLOYD'S OF LONDON | $286 | $0 | $286 | 9.69% |
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 | 957 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 22 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 985 | 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 | 676 | $18.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 882 | $920K |
| Vision | VISION SERVICE PLAN | 891 | $161K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 988 | $1.4M |
| Short-term disability(3 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 988 | $644K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 988 | $1.4M |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 676 | $14.7M |
| Other(5 contracts, 5 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 988 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 988 | — |
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.