| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EXECUTIVE FINANCIAL BENE-FACTS INC3 Filed as: EXECUTIVE FINANCIAL BENEFACTS INC | 4601 WILSHIRE BLVD STE 200 LOS ANGELES, CA 900103865 | METROPOLITAN LIFE INSURANCE COMPANY | $160K | $51K | $211K | 4.60% |
| EXECUTIVE FINANCIAL BENE-FACTS INC3 Filed as: EXECUTIVE FINANCIAL BENE-FACTS | 4601 WILSHIRE BLVD STE 200 LOS ANGELES, CA 900103865 | KAISER FOUNDATION HEALTH PLAN INC. | $32K | — | $32K | 2.15% |
| EXECUTIVE FINANCIAL BENE-FACTS INC3 Filed as: EXECUTIVE FINANCIAL BENE-FACTS | 4601 WILSHIRE BLVD STE 200 LOS ANGELES, CA 900103865 | KAISER FOUNDATION HEALTH PLAN INC. | $10K | — | $10K | 2.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS LIFE & HEALTH EIN 95-4331852 NONE | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Direct payment from the plan; Other services Service code 12 | — | $1.7M |
| EXECUTIVE FINANCIAL BENE-FACTS INC NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 4601 WILSHIRE BLVD SUITE 200 LOS ANGELES, CA 90010 | $265K |
| ADP EIN 22-3339704 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $44K |
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 | 2,093 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 87 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 5 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 3,154 | $4.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 3,581 | $4.6M |
| Vision | VISION SERVICE PLAN | 1,597 | $188K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,581 | $4.6M |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 3,581 | $4.6M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,581 | $4.6M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 3,581 | $4.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,581 | — |
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."
No prospect flags tripped on this filing.