| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., SUITE 700 ENCINO, CA 91436 | BLUE SHIELD OF CALIFORNIA | $49K | — | $49K | 4.80% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., STE. 700 ENCINO, CA 914362406 | KAISER FOUNDATION HEALTH PLAN, INC. | $11K | $492 | $11K | 4.29% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., SUITE 700 ENCINO, CA 91436 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 4.00% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., SUITE 700 ENCINO, CA 91436 | UNUM LIFE INSURANCE COMPANY | $5K | — | $5K | 11.73% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., SUITE 700 ENCINO, CA 91436 | VSP | $974 | — | $974 | 5.32% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC. DBA EASE CENTRAL | 1980 FESTIVAL PLAZA DR. STE. 810 LAS VEGAS, NV 891352958 | VSP | $171 | — | $171 | 0.93% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., SUITE 700 ENCINO, CA 91436 | DELTA DENTAL OF CALIFORNIA | $1K | — | $1K | 10.00% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 16133 VENTURA BLVD., SUITE 700 ENCINO, CA 91436 | UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| UNISOURCE INSURANCE SERVICES, INC.3 | 15821 VENTURA BLVD., SUITE 405 ENCINO, CA 91436 | MAGELLAN HEALTH SERVICES | $1K | — | $1K | 12.00% |
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 | 180 | 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) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE SHIELD OF CALIFORNIA | 180 | $1.3M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 122 | $90K |
| Vision | VSP | 112 | $18K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY | 135 | $54K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY | 135 | $43K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY | 135 | $43K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 128 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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.