| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM F. POLLAK3 | 13821 NEWPORT AVE STE 170 TUSTIN, CA 92780 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $2K | $1K | $3K | 6.99% |
| MULROY INSURANCE AGENCY LLC3 | 1500 QUAIL ST STE600 NEWPORT BEACH, CA 92660 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $461 | $41 | $502 | 1.10% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND FINANCIAL | 1095 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | NEW ENGLAND LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| LUCIA FINANCIAL GROUP3 | 13520 EVENING CREEK DR E STE 300 SAN DIEGO, CA 92128 | PENN MUTUAL LIFE INSURANCE | $31 | — | $31 | 310.00% |
| STEVEN EDWARD EGAN3 | 500 W MADISON ST SUITE 4000 CHICAGO, IL 606614544 | VOYA INSURANCE AND ANNUITY COMPANY | $0 | $40 | $40 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MG TRUST COMPANY DBA MATRIX TRUST C EIN 75-3182674 TRUSTEE/RECORDKEEPER | Soft dollars commissions; Participant communication; Sub-transfer agency fees; Trustee (bank, trust company, or similar financial institution); Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Recordkeeping fees; Direct payment from the plan; Account maintenance fees; Consulting (general); Participant loan processing; Trustee (directed); Custodial (securities); Copying and duplicating Service code 15 | — | $236K |
| TD AMERITRADE, INC. | Shareholder servicing fees; Distribution (12b-1) fees; Sub-transfer agency fees; Soft dollars commissions Service code 59 | — | $0 |
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 | 251 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 47 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(6 contracts, 5 carriers) | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 1 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1 | — |
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.