| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS Filed as: UNITED AGENCIES INC | 100 NORTH 1ST SUITE 301 BURBANK, CA 91502 | AETNA HEALTH, INC. | $18K | — | $18K | 2.84% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: WORD & BROWN INS ADMIN INC | 721 S PARKER STE 300 ORANGE, CA 92868 | AETNA HEALTH, INC. | $13K | — | $13K | 1.97% |
| CUSTOM EMPLOYEE BENEFITS Filed as: CUSTOM EMPLOYEE BENEFITS INSURANCE | SERVICES INC. 3605 LONG BEACH BLVD SUITE 410 LONG BEACH, CA 90807 | AETNA HEALTH, INC. | $11K | — | $11K | 1.65% |
| CUSTOM EMPLOYEE BENEFITS Filed as: CUSTOM EMPLOYEE BENEFITS INSURANCE | SERVICES INC. PO BOX 1250 SUNSET BEACH, CA 90742 | AETNA HEALTH, INC. | $3K | — | $3K | 0.43% |
| ASSUREDPARTNERS Filed as: UNITED AGENCIES INC | 100 NORTH 1ST SUITE 301 BURBANK, CA 91502 | AETNA LIFE INSURANCE CO. | $6K | — | $6K | 3.53% |
| CUSTOM EMPLOYEE BENEFITS Filed as: CUSTOM EMPLOYEE BENEFITS INSURANCE | SERVICES INC 3605 LONG BEACH BLVD SUITE 410 LONG BEACH, CA 90742 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 2.03% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: WORD & BROWN INS ADMIN INC | 721 S PARKER STE 300 ORANGE, CA 92868 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 1.99% |
| CUSTOM EMPLOYEE BENEFITS Filed as: CUSTOM EMPLOYEE BENEFITS INSURANCE | SERVICES INC PO BOX 1250 SUNSET BEACH, CA 90742 | AETNA LIFE INSURANCE CO. | $824 | — | $824 | 0.51% |
| CUSTOM EMPLOYEE BENEFITS3 | 5252 ORANGE AVE STE 208 CYPRESS, CA 90630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.50% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 100 N FIRST ST STE 301 BURBANK, CA 91502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.50% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 100 N FIRST ST STE 301 BURBANK, CA 91502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.69% |
| CUSTOM EMPLOYEE BENEFITS3 | 5252 ORANGE AVE STE 208 CYPRESS, CA 90630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.30% |
| CUSTOM EMPLOYEE BENEFITS3 | 5252 ORANGE AVE STE 208 CYPRESS, CA 90630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 8.00% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 100 N FIRST ST STE 301 BURBANK, CA 91502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $943 | — | $943 | 7.00% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 100 N FIRST ST STE 301 BURBANK, CA 91502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $866 | — | $866 | 7.59% |
| CUSTOM EMPLOYEE BENEFITS3 | 5252 ORANGE AVE STE 208 CYPRESS, CA 90630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $846 | — | $846 | 7.41% |
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 | 130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 130 | $161K |
| Dental | AETNA LIFE INSURANCE CO. | 130 | $161K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 130 | $28K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 31 | $11K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 28 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.