| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEBHERZ INSURANCE SERVICES INC3 Filed as: LEBHERZ INSURANCE SERVICES | 1660 W. HILLSDALE BLVD. SAN MATEO, CA 94402 | AETNA LIFE INSURANCE COMPANY | $17K | — | $17K | 4.77% |
| OAKBRIDGE INSURANCE AGENCY LLC3 Filed as: OAKBRIDGE ADVISORS INC. | 4000 MACARTHUR BLVD., SUITE 550 NEWPORT BEACH, CA 92660 | AETNA LIFE INSURANCE COMPANY | $7K | — | $7K | 1.91% |
| OAKBRIDGE INSURANCE AGENCY LLC3 Filed as: OAKBRIDGE ADVISORS INC. | 4000 MACARTHUR BLVD., SUITE 550 NEWPORT BEACH, CA 92660 | GUARDIAN | $4K | $2K | $5K | 14.36% |
| OAKBRIDGE INSURANCE AGENCY LLC3 Filed as: OAKBRIDGE ADVISORS INC. | 4000 MACARTHUR BLVD., SUITE 550 NEWPORT BEACH, CA 92660 | UNION SECURITY INSURANCE COMPANY | $2K | — | $2K | 8.35% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE | 700 AIRPORT BLVD. BURLINGAME, CA 94010 | UNION SECURITY INSURANCE COMPANY | $1K | — | $1K | 6.94% |
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 | 121 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 72 | $365K |
| Dental | GUARDIAN | 121 | $38K |
| Vision | GUARDIAN | 121 | $38K |
| Life insurance | GUARDIAN | 121 | $38K |
| Short-term disability | UNION SECURITY INSURANCE COMPANY | 60 | $18K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 72 | $365K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 121 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.