| 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 | $762K | — | $762K | 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 | $22K | — | $22K | 0.50% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $330K | — | $330K | 13.88% |
| TERRANCE L YEAGER3 | 41 EAST FOOTHILL BLVD. STE 204A ARCADIA, CA 91006 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $12K | — | $12K | 0.50% |
| LOS ANGELES CITY EMPLOYEES ASSOC.3 | 311 S SPRING STREET STE 1300 LOS ANGELES, CA 90013 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $414K | $414K | 18.03% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $195K | — | $195K | 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 | $5K | — | $5K | 0.50% |
| LACEA3 | 350 S FIGUEROA ST STE 700 LOS ANGELES, CA 90071 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $55K | — | $55K | 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 | $25K | — | $25K | 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 | $4K | — | $4K | 19.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DP SAN RAFAEL LLC EIN 20-1745739 PARTY IN INTEREST | Other fees Service code 99 | — | $253K |
| JOHN HAWKINS EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $184K |
| BRIAN TRENT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $166K |
| SUMMY LAM EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $154K |
| P. LEIGH THOMPSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $154K |
| ROBERT LARIOS EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $116K |
| TUYET TRINH PHAM EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $115K |
| GEDINA BERGSTROM EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $110K |
| CECILIA TALBOT-CAMACHO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $109K |
| CAROLE LOVATO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $106K |
| ARLENE HERRERO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $105K |
| DALILA VIELMA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $97K |
| NOELLE KAUFFMAN EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $97K |
| ALAN BOUND EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $90K |
| HAVA BERMAN EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $88K |
| MICHAEL ANDERSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $87K |
| JEANETTE GADUT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $87K |
| MARIANA LANDAETA-GUEVARA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $84K |
| GEEKTECK IT SERVICES EIN 27-4451140 PARTY IN INTEREST | Other fees Service code 99 | — | $79K |
| ANGEL GOMEZ EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $77K |
| CHERYL MARTIN EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $74K |
| JIM THOMPSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $65K |
| JOHN KAVEH 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 | — | $52K |
| MEGAN ECKERT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $51K |
| MONICA ZAMUDIO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $47K |
| BROADWAY SPRING CENTER EIN 95-3675136 PARTY IN INTEREST | Other fees Service code 99 | — | $44K |
| REBECCA DEBOLT EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $42K |
| FACT MUSIC EIN 33-0954017 PARTY IN INTEREST | Other fees Service code 99 | — | $38K |
| GUADALUPE LIRA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $35K |
| ROSEBUD MARKETING GROUP EIN 95-4823828 PARTY IN INTEREST | Other fees Service code 99 | — | $35K |
| CITALI BON SANCHEZ EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $35K |
| MARYANN URDIALES EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $30K |
| RONALD CORTEZ EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $29K |
| JALELIA SOLOMON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $27K |
| DYLAN NOEL EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $26K |
| TIFFANY SY ANDERSON EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $25K |
| TELEPACIFIC EIN 95-4593876 PARTY IN INTEREST | Other fees Service code 99 | — | $21K |
| PCW INTERNATIONAL EIN 95-4737722 PARTY IN INTEREST | Other fees Service code 99 | — | $20K |
| AMERICAN DIRECT MAIL EIN 95-1582580 PARTY IN INTEREST | Other fees Service code 99 | — | $19K |
| OFFICE DEPOT EIN 59-2663954 PARTY IN INTEREST | Other fees Service code 99 | — | $18K |
| RICOH BUSINESS SYSTEMS EIN 22-2783521 PARTY IN INTEREST | Other fees Service code 99 | — | $16K |
| UNITED AGENCIES EIN 45-3797711 PARTY IN INTEREST | Other fees Service code 99 | — | $15K |
| SAFEGUARD BUSINESS SYSTEMS EIN 23-1689322 PARTY IN INTEREST | Other fees Service code 99 | — | $15K |
| NOAH HAWKINS EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $12K |
| STAPLES EIN 46-0358360 PARTY IN INTEREST | Other fees Service code 99 | — | $10K |
| OSI BEYOND LLC EIN 20-0471383 PARTY IN INTEREST | Other fees Service code 99 | — | $10K |
| PRATHIMA VAIDYA EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $9K |
| YARESSY RAYMUNDO EIN 95-1667955 PARTY IN INTEREST | Other fees Service code 99 | — | $9K |
| CITY OF LA PUBLISHING SERVICE EIN 95-6000735 PARTY IN INTEREST | Other fees Service code 99 | — | $7K |
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 | 40,586 | 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) | 40,586 | 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 | 9,555 | $5.6M |
| Long-term disability(2 contracts) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 1,801 | $2.4M |
| Other(7 contracts, 2 carriers) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 9,555 | $8.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,555 | — |
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.