| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RXBENEFITS, INC. | — | RXBENEFITS, INC. | — | $24K | $24K | 0.37% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $207K | $9K | $215K | 15.46% |
| ANCILLARY INSURANCE SOLUTIONS3 | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $70K | $70K | 5.00% |
| DELTA DENTAL OF CALIFORNIA | — | DELTA DENTAL OF CALIFORNIA | — | $126K | $126K | 11.83% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $156K | $9K | $165K | 23.76% |
| ANCILLARY INSURANCE SOLUTIONS3 | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $35K | $35K | 5.00% |
| ALLIANT INSURANCE SERVICES, INC. | 701 B ST FL 6 SAN DIEGO, CA 92101 | CALIFORNIA PHYSICIANS' SERVICE | $7K | — | $7K | 1.52% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $69K | $6K | $74K | 21.60% |
| FMLA SOURCE INC3 | 455 N CITYFRONT PLZ DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $61K | $61K | 17.86% |
| ANCILLARY INSURANCE SOLUTIONS3 | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $17K | $17K | 5.00% |
| VISION SERVICE PLAN | — | VISION SERVICE PLAN | — | $32K | $32K | 11.50% |
| ANCILLARY INSURANCE SOLUTIONS3 | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $6K | $6K | 5.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 3.43% |
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 | 4,469 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS' SERVICE | 3,393 | $448K |
| Dental | DELTA DENTAL OF CALIFORNIA | 4,469 | $1.1M |
| Vision | VISION SERVICE PLAN | 2,380 | $279K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 3,140 | $344K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,722 | $1.4M |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 973 | $808K |
| Prescription drug | RXBENEFITS, INC. | 1,817 | $6.5M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 3,140 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,469 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.