| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRADAWN INSURANCE SERVICES, INC.3 | 800 W. VALLEY PARKWAY SUITE 114 ESCONDIDO, CA 92025 | UNIMERICA | $330K | $0 | $330K | 7.50% |
| MJ INSURANCE3 Filed as: BRADAWN INSUANCE SERVICES, INC. | 800 W. VALLEY PARKWAY SUITE 114 ESCONDIDO, CA 92025 | UNIMERICA | $153K | $0 | $153K | 7.50% |
| BRADAWN INSURANCE SERVICES, INC.3 | 800 W. VALLEY PARKWAY SUITE 114 ESCONDIDO, CA 92025 | MEDICAL EYE SERVICES | $72K | $0 | $72K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCOMP ADMINISTRATORS EIN 77-0385729 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 621 SANTA FE AVENUE FRESNO, CA 93721 | $7.1M |
| ANTHEM BLUE CROSS EIN 95-3760980 OTHER FEES | Other fees Service code 99 | 21555 OXNARD STREET WOODLAND HILLS, CA 91367 | $1.6M |
| BL CONSULTING GROUP EIN 38-0867628 PARTICIPANT COMMUNICATION | Participant communication Service code 38 | 818 MADISON AVENUE SAN DIEGO, CA 92116 | $100K |
| THE CORPORATE EXECUTIVE BOARD CO. EIN 52-2056410 INFORMATION MANAGEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1919 N. LYNN STREET ARLINGTON, VA 22209 | $68K |
| MDLIVE, INC. EIN 45-4937055 OTHER FEES | Other fees Service code 99 | 13630 NW 8TH STREET SUITE 205 SUNRISE, FL 33325 | $56K |
| ERNST & YOUNG U.S. LLP EIN 34-6565596 INFORMATION MANAGEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 200 PLAZA DRIVE SECAUCUS, NJ 07094 | $42K |
| HEALTHCARE ACTUARIES EIN 20-5718833 ACTUARIAL | Actuarial Service code 11 | 16519 107TH PLACE NORTHEAST BOTHELL, WA 98011 | $19K |
| MILLIMAN, INC. EIN 91-0675641 INFORMATION MANAGEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 9255 TOWNE CENTER DRIVE SUITE 900 SAN DIEGO, CA 92121 | $19K |
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 | 13,265 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 79 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 13,344 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | MEDICAL EYE SERVICES | 12,025 | $1.4M |
| Life insurance | UNIMERICA | 13,259 | $4.4M |
| Long-term disability | UNIMERICA | 3,277 | $2.0M |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE | 12,025 | $1.3M |
| Other | UNIMERICA | 13,259 | $4.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,259 | — |
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.