| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 255118 SACRAMENTO, CA 95865 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $11K | $0 | $11K | 2.47% |
| INTERWEST INSURANCE SERVICES, LLC3 | 595 AUTO CENTER DRIVE WATERSONVILLE, CA 95076 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $6K | $0 | $6K | 1.24% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 255188 SACRAMENTO, CA 95865 | PREMIER ACCESS INSURANCE COMPANY | $3K | $0 | $3K | 5.06% |
| INTERWEST INSURANCE SERVICES, LLC3 | 3636 AMERICAN RIVER DRIVE SACRAMENTO, CA 95864 | UNION SECURITY INSURANCE COMPANY | $1K | $0 | $1K | 10.99% |
| INTERWEST INSURANCE SERVICES, LLC3 | 1357A EAST LASSEN AVENUE CHICO, CA 95926 | UNION SECURITY INSURANCE COMPANY | $211 | $0 | $211 | 1.98% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 8110 CHICO, CA 95927 | VISION SERVICE PLAN | $704 | $0 | $704 | 7.75% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 8110 CHICO, CA 95927 | VISION SERVICE PLAN | $213 | $0 | $213 | 9.98% |
| INTERWEST INSURANCE SERVICES, LLC3 | 1357A EAST LASSEN AVENUE CHICO, CA 95926 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $229 | $29 | $258 | 12.33% |
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 | 115 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 80 | $460K |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 115 | $67K |
| Vision(2 contracts) | VISION SERVICE PLAN | 55 | $11K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 115 | $13K |
| Prescription drug | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 80 | $460K |
| Other(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 115 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 115 | — |
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."
No prospect flags tripped on this filing.