| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL CUTRIGHT | 341 S. JEFFERSON STREET NAPA, CA 945594516 | METROPOLITAN LIFE INSURANCE COMPANY | $30K | — | $30K | 5.14% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 5110 N. 40TH ST., STE. 234 PHOENIX, AZ 850182151 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 0.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PAULA HARRIS EIN 94-3203548 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $99K |
| UA LOCAL 343 EIN 94-0925634 PLAN SPONSOR | Direct payment from the plan; Other services Service code 49 | — | $97K |
| BIANCA BEGRIN EIN 94-3203548 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $54K |
| KRAW LAW GROUP EIN 32-0465891 NONE | Legal; Direct payment from the plan Service code 29 | — | $48K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $42K |
| KAUFMANN & GOBLE ASSOCIATES EIN 94-2614826 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $34K |
| HEATHER CLANTON NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 2364 BECKETT DRIVE EL DORADO, CA 95762 | $20K |
| VERUS EIN 91-1320111 NONE | Consulting (pension); Investment advisory (plan); Direct payment from the plan Service code 17 | — | $15K |
| PACE SOFTWARE SYSTEMS EIN 94-2897992 NONE | Direct payment from the plan; Other services Service code 49 | — | $6K |
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 | 279 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 101 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 380 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 21 | $60K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,497 | $592K |
| Vision | VISION SERVICE PLAN | 317 | $58K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,497 | $592K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 21 | $56K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,497 | $592K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,497 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.