| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOLE AND SONS INC3 | 5130 BONITA RD SUITE A BONITA, CA 91902 | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | $31K | — | $31K | 2.50% |
| JON DAVIS3 Filed as: JON W. DAVIS | 3131 CAMINO DEL RIO NORTH 1250 SAN DIEGO, CA 92108 | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | $31K | — | $31K | 2.50% |
| SFGA INSURANCE MARKETING3 | 400 SUNRISE AVENUE SUITE 150 ROSEVILLE, CA 95661 | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | $24K | — | $24K | 2.00% |
| DOLE AND SONS INC3 | — | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | $4K | — | $4K | 3.55% |
| JON DAVIS3 Filed as: JON W DAVIS | 3131 CAMINO DEL RIO NORTH 1250 SAN DIEGO, CA 92108 | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | $4K | — | $4K | 3.55% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND FINANCIAL/NEW ENGLAND | SECURITIES INC 1095 AVENUE OF THE AMERICAS NEW YORK, NY 100366797 | METROPOLITAN LIFE INSURANCE COMPANY | — | $16K | $16K | 16.16% |
| JON DAVIS3 | 2020 CAMINO DEL RIO N STE 400 SAN DIEGO, CA 921081543 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | — | $11K | 10.68% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: METLIFE FINANCIAL/METLIFE | SECURITIES INC 1095 AVENUE OF THE AMERICAS NEW YORK, NY 100366797 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 3.56% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND FINANCIAL/NEW ENGLAND | SECURITIES INC 1095 AVENUE OF THE AMERICAS NEW YORK, NY 100366797 | SAFEGUARD HEALTH PLANS., INC., A CALIFORNIA CORPORATION | — | $2K | $2K | 12.76% |
| JON DAVIS3 | 2020 CAMINO DEL RIO N STE 400 SAN DIEGO, CA 921081543 | SAFEGUARD HEALTH PLANS., INC., A CALIFORNIA CORPORATION | $1K | — | $1K | 9.12% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: METLIFE FINANCIAL/METLIFE | SECURITIES INC 1095 AVENUE OF THE AMERICAS NEW YORK, NY 100366797 | SAFEGUARD HEALTH PLANS., INC., A CALIFORNIA CORPORATION | — | $432 | $432 | 3.04% |
| JON DAVIS3 | 2020 CAMINO DEL RIO N STE 400 SAN DIEGO, CA 921081543 | METROPOLITAN LIFE INSURANCE COMPANY | $967 | — | $967 | 10.99% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: METLIFE FINANCIAL/METLIFE | SECURITIES INC 1095 AVENUE OF THE AMERICAS NEW YORK, NY 100366797 | METROPOLITAN LIFE INSURANCE COMPANY | — | $324 | $324 | 3.68% |
| JON DAVIS3 | 2020 CAMINO DEL RIO N STE 400 SAN DIEGO, CA 921081543 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $121 | — | $121 | 10.21% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: METLIFE FINANCIAL/METLIFE | SECURITIES INC 1095 AVENUE OF THE AMERICAS NEW YORK, NY 100366797 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | — | $40 | $40 | 3.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH AND HUMAN RESOURCE CENTER, I PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $5K |
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 | 142 | 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) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | 278 | $1.3M |
| Dental(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 327 | $126K |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 327 | $110K |
| Long-term disability(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 327 | $110K |
| Prescription drug(2 contracts) | BLUE SHIELD CALIFORNIA PHYSICIANS SERVICE | 278 | $1.3M |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 327 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 327 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.