| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LUCIA FINANCIAL GROUP3 | 13520 EVENING CREEK DR E STE 300 SAN DIEGO, CA 92128 | PENN MUTUAL LIFE INSURANCE | $31 | $0 | $31 | 1.19% |
| WILLIAM F. POLLAK3 | 13821 NEWPORT AVE STE 170 TUSTIN, CA 92780 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $797 | $339 | $1K | — |
| MULROY INSURANCE AGENCY LLC3 | 1500 QUAIL ST STE600 NEWPORT BEACH, CA 92660 | NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $191 | $23 | $214 | — |
| RILEY J. KELLY3 | 4550 KEARNY VILLA ROAD STE 103 SAN DIEGO, CA 921231558 | PACIFIC MUTUAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ONEAMERICA RETIREMENT SERVICES EIN 46-5378846 RECORDKEPER | Recordkeeping fees; Account maintenance fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant loan processing; Participant communication Service code 15 | — | $190K |
| RICE HALL JAMES & ASSOC INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment advisory (participants) Service code 26 | 600 WEST BROADWAY STE 1000 SAN DIEGO, CA 92101 | $36K |
| DOWLING & YAHNKE LLC INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment advisory (participants) Service code 26 | 12340 EL CAMINO REAL SUITE 450 SAN DIEGO, CA 92130 | $24K |
| TOM MONAHAN INDEPENDENT FINANCIAL G INVESTMENT MANAGER | Investment advisory (participants); Investment management fees paid directly by plan Service code 26 | 2648 E STREET SAN DIEGO, CA 92102 | $19K |
| TD AMERITRADE INVESTMENT MANAGER | Investment advisory (participants); Investment management fees paid directly by plan Service code 26 | P.O. BOX 2226 OMAHA, NE 68103 | $12K |
| JAN GLEISNER INVESTMENT MANAGER | Investment management fees paid directly by plan; Investment advisory (participants) Service code 26 | 1299 4TH ST STE 200 SAN RAFAEL, CA 94901 | $10K |
| UBS FINANCIAL SERVICES INVESTMENT MANAGER | Investment advisory (participants); Investment management fees paid directly by plan Service code 26 | 1200 PROSPECT ST SUITE 300 LA JOLLA, CA 92037 | $9K |
| MATRIX TRUST COMPANY | Direct payment from the plan; Custodial (other than securities); Custodial (securities); Trustee (directed); Other services; Trustee (bank, trust company, or similar financial institution); Float revenue Service code 18 | — | $0 |
| MG TRUST COMPANY DBA MATRIX TRUST C EIN 75-3182674 TRUSTEE/RECORDKEPPER | Participant communication; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Trustee (directed); Copying and duplicating; Direct payment from the plan; Account maintenance fees; Consulting (general); Participant loan processing; Recordkeeping fees; Sub-transfer agency fees; Trustee (bank, trust company, or similar financial institution); Custodial (securities) Service code 15 | — | $0 |
| MSCS FINANCIAL SERVICES DIVISION OF | Finders' fees / placement fees; Shareholder servicing fees; Distribution (12b-1) fees; Sub-transfer agency fees; Soft dollars commissions; Direct payment from the plan Service code 50 | — | $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 | 255 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 107 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 362 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(4 contracts, 3 carriers) | PACIFIC MUTUAL LIFE INSURANCE COMPANY | 209 | $6K |
| Other | AMERICAN UNITED LIFE INSURANCE COMPANY | 204 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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.