| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93711 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $71K | — | $71K | 5.97% |
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | HUMANA | $14K | — | $14K | 9.89% |
| GRANVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 10.00% |
| MGIS3 | 111 S. MAIN STREET, #400 SALT LAKE CITY, UT 841112176 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $180 | $180 | 0.21% |
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 20.00% |
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | STANDARD LIFE AND ACCIDENT | $3K | — | $3K | 15.00% |
| MWL3 | P. O. BOX 14067 JJACKSON, MS 392364067 | STANDARD LIFE AND ACCIDENT | $1K | — | $1K | 5.00% |
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | STANDARD LIFE AND ACCIDENT | $3K | — | $3K | 15.00% |
| MWL3 | P. O. BOX 14067 JACKSON, MS 392364067 | STANDARD LIFE AND ACCIDENT | $915 | — | $915 | 5.00% |
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 20.00% |
| GRAVELINE FINANCIAL, INC.3 | 1243 E. SPRUCE AVENUE, #105 FRESNO, CA 93720 | STANDARD LIFE AND ACCIDENT | $1K | — | $1K | 14.99% |
| MWG BROKER SERVICES3 | P. O. BOX 14067 JACKSON, MS 392364067 | STANDARD LIFE AND ACCIDENT | $384 | — | $384 | 5.00% |
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 | 123 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 99 | $1.2M |
| Dental | HUMANA | 156 | $142K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 99 | $1.2M |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 212 | $84K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 212 | $84K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 212 | $84K |
| Other(3 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 212 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
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.