| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COST CONTROL INSURANCE SERVICE3 | 87 DUNES CIRCLE CATHEDRAL CITY, CA 92234 | AETNA HEALTH, INC. | $58K | — | $58K | 2.54% |
| COST CONTROL INSURANCE SERVICE3 | P.O. BOX 664 DESERT HOT SPRINGS, CA 92240 | AETNA HEALTH, INC. | $47K | — | $47K | 2.05% |
| COST CONTROL INSURANCE SERVICE3 | 87 DUNES CIRCLE CATHEDRAL CITY, CA 92234 | CALIFORNIA PHYSICIANS' SERVICE | $45K | — | $45K | 5.00% |
| COST CONTROL INSURANCE SERVICE3 | 87 DUNES CIRCLE CATHEDRAL CITY, CA 92234 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 2.44% |
| COST CONTROL INSURANCE SERVICE3 | P.O. BOX 664 DESERT HOT SPRINGS, CA 92240 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 2.16% |
| COST CONTROL INSURANCE SERVICE3 | 87 DUNES CIRCLE CATHEDRAL CITY, CA 92234 | UNITED CONCORDIA INSURANCE COMPANY | $6K | — | $6K | 7.54% |
| COST CONTROL INSURANCE SERVICE3 | 66353 8TH STREET DESERT HOT SPRINGS, CA 92240 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| COST CONTROL INSURANCE SERVICE3 | 87 DUNES CIRCLE CATHEDRAL CITY, CA 92234 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $3K | — | $3K | 8.22% |
| COST CONTROL INSURANCE SERVICE3 | 87 DUNES CIRCLE CATHEDRAL CITY, CA 92234 | WESTERN DENTAL SERVICES, INC. | $2K | — | $2K | 10.01% |
| COST CONTROL INSURANCE SERVICE3 | 66353 8TH STREET DESERT HOT SPRINGS, CA 92240 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 8.45% |
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 | 490 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 490 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA HEALTH, INC. | 581 | $3.3M |
| Dental(3 contracts, 3 carriers) | UNITED CONCORDIA INSURANCE COMPANY | 270 | $138K |
| Life insurance | STANDARD INSURANCE COMPANY | 490 | $20K |
| Long-term disability | STANDARD INSURANCE COMPANY | 118 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 581 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.