| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 LOCKBOX 28852 NEW YORK, NY 10087 | ANTHEM BLUE CROSS | $369K | — | $369K | 0.47% |
| BLUE CHIP BENEFITS3 | 4551 W. 107TH STREET SUITE 310 OVERLAND PARK, KS 66207 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $227K | $9K | $236K | 5.20% |
| SHETH, SAMIR H3 Filed as: SHETH, SAMIR | 1000 WILSHIRE BLVD SUITE 1830 LOS ANGELES, CA 90017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $113K | — | $113K | 2.50% |
| CALLISTER, RICHARD C3 | 4929 HILLARD AVE LA CANADA, CA 91011 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $113K | — | $113K | 2.50% |
| BLUE CHIP BENEFITS3 Filed as: BLUE CHIP BENEFITS, LLC | 4551 W 107TH ST STE 310 OVERLAND PARK, KS 662074037 | RELIASTAR LIFE INSURANCE COMPANY | — | $179K | $179K | 4.00% |
| CALLISTER, RICHARD C3 | 515 S FLOWER ST, FL 18 LOS ANGELES, CA 900712201 | RELIASTAR LIFE INSURANCE COMPANY | $112K | — | $112K | 2.50% |
| SHETH, SAMIR H3 | 1000 WILSHIRE BLVD STE 250 LOS ANGELES, CA 900172459 | RELIASTAR LIFE INSURANCE COMPANY | $112K | — | $112K | 2.50% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 10087 | RELIASTAR LIFE INSURANCE COMPANY | $135K | — | $135K | 6.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 5600 W 83RD ST 8200 TOWER, STE 1100 BLOOMINGTON, MN 55437 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $173K | — | $173K | 14.93% |
| BLUE CHIP BENEFITS3 Filed as: BLUE CHIP BENEFITS, LLC | 4551 W 107TH ST, STE 310 OVERLAND PARK, KS 662074037 | RELIASTAR LIFE INSURANCE COMPANY | — | $32K | $32K | 4.00% |
| CALLISTER, RICHARD C3 | 515 S FLOWER ST, FL 18 LOS ANGELES, CA 900712201 | RELIASTAR LIFE INSURANCE COMPANY | $20K | — | $20K | 2.50% |
| SHETH, SAMIR H3 | 1000 WILSHIRE BLVD STE 250 LOS ANGELES, CA 900172459 | RELIASTAR LIFE INSURANCE COMPANY | $20K | — | $20K | 2.50% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 10087 | DELTA DENTAL OF CALIFORNIA | $22K | — | $22K | 3.00% |
| VERITYPOINT LLC3 | 515 S. FLOWER ST., 18TH FLOOR LOS ANGELES, CA 90071 | METLIFE LEGAL PLANS | $51K | — | $51K | 10.55% |
| WILLIS TOWERS WATSON US LLC4 | PO BOX 28852 NEW YORK, NY 10087 | METLIFE LEGAL PLANS | $39 | — | $39 | 0.01% |
| BLUE CHIP BENEFITS3 | 4551 W. 107TH STREET SUITE 310 OVERLAND PARK, KS 66207 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $484 | $2K | 7.02% |
| CALLISTER, RICHARD C3 | 4929 HILLARD AVE. LA CANADA, CA 91011 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $598 | — | $598 | 2.50% |
| SHETH, SAMIR H3 Filed as: SHETH, SAMIR | 1000 WILSHIRE BLVD SUITE 1830 LOS ANGELES, CA 90017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $598 | — | $598 | 2.50% |
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 | 16,283 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,130 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,413 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | ANTHEM BLUE CROSS | 22,379 | $137.9M |
| Dental | DELTA DENTAL OF CALIFORNIA | 5,040 | $748K |
| Vision | ANTHEM BLUE CROSS | 22,379 | $2.2M |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 26,030 | $4.5M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 511 | $24K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 18,547 | $4.5M |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 18,299 | $2.2M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 21,548 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,030 | — |
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.