| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WOODITCH COMPANY INSURANCE SERVICES3 Filed as: THE WOODITCH COMPANY INSURANCE SERV | ONE PARK PLAZA IRVINE, CA 92614 | BLUE SHIELD OF CALIFORNIA | $66K | $58 | $66K | 5.07% |
| AMWINS3 Filed as: LISI, INC | 1600 W HILLSDALE BLVD SAN MATEO, CA 94402 | BLUE SHIELD OF CALIFORNIA | $25K | — | $25K | 1.93% |
| WOODITCH COMPANY INSURANCE SERVICES3 Filed as: THE WOODITCH COMPANY INSURANCE SERV | ONE PARK PLAZA #400 IRVINE, CA 92614 | VISION SERVICE PLAN | $907 | — | $907 | 6.59% |
| WOODITCH COMPANY INSURANCE SERVICES3 Filed as: THE WOODITCH COMPANY INSURANCE SERV | ONE PARK PLAZA #400 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 9.84% |
| WOODITCH COMPANY INSURANCE SERVICES3 Filed as: THE WOODITCH COMPANY INSURANCE SERV | ONE PARK PLAZA #400 IRVINE, CA 92614 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 13.70% |
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 | 250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 250 | $1.3M |
| Vision | VISION SERVICE PLAN | 78 | $14K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 269 | $10K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 47 | $8K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 269 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 269 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.