| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M & O AGENCIES INC3 | 1835 S EXTENSION RD MESA, AZ 85210 | KAISER FOUNDATION HEALTH PLAN INC | $8K | — | $8K | 3.22% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 750 B STREET SUITE 2400 SAN DIEGO, CA 921012476 | KAISER FOUNDATION HEALTH PLAN INC | $5K | — | $5K | 2.19% |
| THE MAHONEY GROUP3 | 1835 S EXTENSION RD MESA, AZ 85210 | SUTTER HEALTH PLAN | $6K | — | $6K | 2.86% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 900 E HAMILTON AVENUE STE 350 CAMPBELL, CA 950080666 | SUTTER HEALTH PLAN | $5K | — | $5K | 2.14% |
| M & O AGENGIES, INC3 | 1835 S EXTENSION ROAD MESA, AZ 85210 | UNITED CONCORDIA INSURANCE COMPANY | $4K | — | $4K | 5.79% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 214 N TRYON ST CHARLOTTE, NC 28202 | UNITED CONCORDIA INSURANCE COMPANY | $3K | $36 | $3K | 4.27% |
| M & O AGENCIES INC3 Filed as: M & O AGENCIES | 1835 EXTENSION RD MESA, AZ 85210 | WESTERN HEALTH ADVANTAGE | $1K | — | $1K | 2.66% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 31128 RALEIGH, NC 27622 | WESTERN HEALTH ADVANTAGE | $1K | — | $1K | 2.24% |
| M & O AGENGIES, INC3 Filed as: M & O AGENGIES, INC DBA THE MAHONEY | 1835 S EXTENSION ROAD MESA, AZ 85210 | METROPOLITAN LIFE INSURANCE COMPANY | $660 | — | $660 | 5.74% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 214 N TRYON ST CHARLOTTE, NC 28202 | METROPOLITAN LIFE INSURANCE COMPANY | $587 | — | $587 | 5.11% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 750 B STREET STE 2400 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $512 | $394 | $906 | 10.90% |
| M & O AGENCIES INC3 | 1835 S EXTENSION RD MESA, AZ 85210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $735 | — | $735 | 8.84% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 750 B STREET STE 2400 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $483 | $370 | $853 | 10.91% |
| M & O AGENCIES INC3 | 1835 S EXTENSION RD MESA, AA 85210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $691 | — | $691 | 8.83% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 750 B STREET STE 2400 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $104 | $80 | $184 | 10.91% |
| M & O AGENCIES INC3 | 1835 S EXTENSION RD MESA, AZ 85210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $149 | — | $149 | 8.84% |
| THE MAHONEY GROUP3 Filed as: MAHONEY | — | NAVIA BENEFIT SOLUTIONS | $2K | — | $2K | — |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF | — | NAVIA BENEFIT SOLUTIONS | $304 | — | $304 | — |
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 | 90 | 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) | 90 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 52 | $516K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 141 | $74K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 125 | $11K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 90 | $8K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 90 | $2K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 90 | $8K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 52 | $516K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 90 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.