| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $771K | — | $771K | 17.00% |
| TERRANCE L YEAGER3 Filed as: TERRANCE L. YEAGER | 41 EAST FOOTHILL BLVD STE 204A ARCADIA, CA 91006 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $2K | — | $2K | 0.05% |
| LOS ANGELES CITY EMPLOYEES ASSOC.3 | 311 S SPRING STREET STE 1300 LOS ANGELES, CA 90013 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $431K | $431K | 17.89% |
| C/O LOS ANGELES EMPLOYEES ASSOC.3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $330K | — | $330K | 15.00% |
| TERRANCE L YEAGER3 | 41 EAST FOOTHILL BLVD. STE 204A ARCADIA, CA 91006 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $110K | — | $110K | 5.00% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $188K | — | $188K | 18.00% |
| TERRANCE L YEAGER3 | 41 EAST FOOTHILL BLVD STE. 204A ARCADIA, CA 91006 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $52K | — | $52K | 5.00% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $49K | — | $49K | 25.00% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $24K | — | $24K | 25.00% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $23K | — | $23K | 25.00% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $4K | — | $4K | 19.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| US LIFE INSURANCE COMPANY EIN 13-5459480 PARTY IN INTEREST | Other fees Service code 99 | — | $6.7M |
| UNUM/PROVIDENT CORPORATION EIN 01-0278678 PARTY IN INTEREST | Other fees Service code 99 | — | $1.8M |
| REDWOOD HEALTH SERVICES EIN 94-2349739 PARTY IN INTEREST | Other fees Service code 99 | — | $309K |
| DP SAN RAFAEL LLC EIN 20-1745739 PARTY IN INTEREST | Other fees Service code 99 | — | $240K |
| JOHN HAWKINS EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $178K |
| P. LEIGH THOMPSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $150K |
| BRIAN TRENT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $142K |
| ARLENE HERRERO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $131K |
| SUMMY LAM EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $114K |
| ROBERTO LARIOS EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $114K |
| CECILIA TALBOT-CAMACHO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $114K |
| GEDINA BERGSTROM EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $109K |
| TUYET TRINH PHAM EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $109K |
| FACT MUSIC EIN 33-0954017 PARTY IN INTEREST | Other fees Service code 99 | — | $95K |
| MICHAEL ANDERSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $94K |
| MARIANA LANDAETA-GUEVARA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $82K |
| ANGEL GOMEZ EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $76K |
| JACKELINE BURCIAGA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $65K |
| ALAN BOUND EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $61K |
| JIM THOMPSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $61K |
| THE TRAVELERS EIN 06-0566050 PARTY IN INTEREST | Other fees Service code 99 | — | $59K |
| HAVA BERMAN EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $59K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 PARTY IN INTEREST | Other fees Service code 99 | — | $57K |
| NOELLE KAUFMAN EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $54K |
| DALILA VIELMA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $51K |
| MEGAN ECKERT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $45K |
| MONICA ZAMUDIO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $45K |
| JEANETTE GADUT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $43K |
| CASTLE CARPET EIN 95-4505479 PARTY IN INTEREST | Other fees Service code 99 | — | $38K |
| GUADALUPE LIRA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $38K |
| TIFFANY SY EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $37K |
| MARYANN URDIALES EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $36K |
| BROADWAY SPRING CENTER EIN 95-3675136 PARTY IN INTEREST | Other fees Service code 99 | — | $35K |
| REBECCA PLATERO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $33K |
| PCW INTERNATIONAL EIN 95-4737722 PARTY IN INTEREST | Other fees Service code 99 | — | $33K |
| CAROLE LOVATO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $29K |
| JOHN KAVEH EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $25K |
| TELEPACIFIC EIN 95-4593876 PARTY IN INTEREST | Other fees Service code 99 | — | $25K |
| ROSEBUD MARKETING GROUP EIN 95-4823828 PARTY IN INTEREST | Other fees Service code 99 | — | $24K |
| JOHN CHOV EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $22K |
| VISION SERVICE PLAN EIN 94-1632821 PARTY IN INTEREST | Other fees Service code 99 | — | $20K |
| TELECOM SUPPLY INC. EIN 95-4670100 PARTY IN INTEREST | Other fees Service code 99 | — | $20K |
| KATHERINE HESSELTINE EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $19K |
| JENNIFER SHACKELFORD EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $13K |
| AMERICAN DIRECT MAIL EIN 95-1582580 PARTY IN INTEREST | Other fees Service code 99 | — | $12K |
| SAFEGUARD BUSINESS SYSTEMS EIN 23-1689322 PARTY IN INTEREST | Other fees Service code 99 | — | $9K |
| FOOD FETISH CATERING EIN 95-4359644 PARTY IN INTEREST | Other fees Service code 99 | — | $9K |
| STAPLES EIN 46-0358360 PARTY IN INTEREST | Other fees Service code 99 | — | $9K |
| ADIRONDACK DATA SYSTEMS EIN 14-1790023 PARTY IN INTEREST | Other fees Service code 99 | — | $8K |
| OSI BEYOND LLC EIN 20-0471383 PARTY IN INTEREST | Other fees Service code 99 | — | $8K |
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 | 36,523 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 36,523 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 9,452 | $5.6M |
| Long-term disability(2 contracts) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 1,711 | $2.2M |
| Other(7 contracts, 2 carriers) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 9,452 | $8.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,452 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.