| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BARBARA FLAHERTY3 Filed as: BARBARA ANNE FLAHERTY | 136 SO,. CITRUS AVENUE LOS ANGELES, CA 90036 | AETNA | $18K | $0 | $18K | — |
| BARBARA FLAHERTY3 Filed as: BARBARA ANNE FLAHERTY | 800 WILSHIRE BOULEVARD SUITE 710 LOS ANGELES, CA 90017 | KAISER PERMANENTE | — | $0 | $0 | — |
| BARBARA FLAHERTY3 Filed as: BARBARA ANNE FLAHERTY | 800 WILSHIRE BOULEVARD SUITE 710 LOS ANGLES, CA 90017 | AETNA | $69K | $0 | $69K | — |
| ONE BENEFIT SOURCE3 | 800 WILSHIRE BOULEVARD SUITE 710 LOS ANGELES, CA 90017 | ANTHEM BLUE CROSS | $3K | $0 | $3K | — |
| BARBARA FLAHERTY3 Filed as: BARBARA ANNE FLAHERTY | 800 WILSHIRE BOULEVARD SUITE 710 LOS ANGELES, CA 90017 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | — |
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 | 410 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 410 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER PERMANENTE | 210 | $0 |
| Dental | AETNA | 415 | $0 |
| Vision | ANTHEM BLUE CROSS | 260 | $0 |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $0 |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $0 |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 415 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.