| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRADAWN INSURANCE SERVICES, INC.3 | 500 LA TERRAZA BLVD., SUITE 102 ESCONDIDO, CA 92025 | UNIMERICA | $351K | $0 | $351K | 7.50% |
| BRADAWN INSURANCE SERVICES, INC.3 | 500 LA TERRAZA BLVD., SUITE 102 ESCONDIDO, CA 92025 | UNIMERICA | $164K | $0 | $164K | 7.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCOMP ADMINISTRATORS EIN 77-0385729 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 621 SANTA FE AVENUE FRESNO, CA 93721 | $3.7M |
| ANTHEM BLUE CROSS EIN 95-3760980 OTHER FEES | Other fees Service code 99 | 21215 BURBANK BLVD. WOODLAND HILLS, CA 91367 | $1.1M |
| MEDICAL EYE SERVICES EIN 95-4354242 CONTRACT ADMINISTRATORS | Claims processing; Contract Administrator Service code 12 | PO BOX 25209 SANTA ANA, CA 92799 | $179K |
| ERNST & YOUNG EIN 34-6565596 INFORMATION MANAGEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 200 PLAZA DRIVE SECAUCUS, NJ 07094 | $177K |
| SCRIPPS HEALTH PLAN SERVICES EIN 33-0782099 OTHER FEES | Other fees Service code 99 | 10790 RANCHO BERNARDO ROAD SAN DIEGO, CA 92127 | $85K |
| BL CONSULTING GROUP EIN 38-0867628 PARTICIPANT COMMUNICATION | Participant communication Service code 38 | 818 MADISON AVENUE SAN DIEGO, CA 92116 | $41K |
| DOCTORS ON DEMAND EIN 46-1326978 CONTRACT ADMINISTRATORS | Claims processing; Contract Administrator Service code 12 | 275 BATTERY ST., SUITE 650 SAN FRANCISCO, CA 94111 | $11K |
| HEALTHCARE ACTUARIES EIN 20-5718833 ACTUARIAL | Actuarial Service code 11 | 16519 107TH PLACE NORTHEAST BOTHWLL, WA 98011 | $11K |
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 | 14,923 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 127 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 15,050 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNIMERICA | 14,922 | $4.7M |
| Long-term disability | UNIMERICA | 3,296 | $2.2M |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE | 5,560 | $943K |
| Other | UNIMERICA | 14,922 | $4.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,922 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.