| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 19000 MACARTHUR BOULEVARD PENTHOUSE SUITE IRVINE, CA 92612 | AETNA HEALTH OF CALIFORNIA INC. | $113K | — | $113K | 2.96% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 19000 MACARTHUR BOULEVARD PENTHOUSE SUITE IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | $28K | — | $28K | 2.88% |
| DANIEL E. SLY3 | 24592 MOONFIRE DRIVE DANA POINT, CA 92629 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 11.92% |
| LELAND C. FREEMAN3 | 2831 BIRCH PLACE FULLERTON, CA 92835 | STANDARD INSURANCE COMPANY | $56 | — | $56 | 0.09% |
| DANIEL E. SLY3 | 24592 MOONFIRE DRIVE DANA POINT, CA 92629 | VISION SERVICE PLAN | $999 | — | $999 | 2.95% |
| LELAND C. FREEMAN3 | 2831 BIRCH PLACE FULLERTON, CA 92835 | VISION SERVICE PLAN | $495 | — | $495 | 1.46% |
No Schedule C service providers reported on this filing.
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 | 358 | 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) | 358 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH OF CALIFORNIA INC. | 686 | $4.8M |
| Dental | AETNA LIFE INSURANCE COMPANY | 686 | $957K |
| Vision | VISION SERVICE PLAN | 265 | $34K |
| Life insurance | STANDARD INSURANCE COMPANY | 358 | $61K |
| Short-term disability | STANDARD INSURANCE COMPANY | 358 | $61K |
| Long-term disability | STANDARD INSURANCE COMPANY | 358 | $61K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH OF CALIFORNIA INC. | 686 | $4.8M |
| Other | STANDARD INSURANCE COMPANY | 358 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 686 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.