| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 4000 MIDLANTIC AVENUE MOUNT LAUREL, NJ 08054 | AETNA HEALTH OF CALIFORNIA INC. | $34K | — | $34K | 0.99% |
| JOSEPH HOFFMAN3 Filed as: JOSEPH MICHAEL HOFFMAN | 29110 TEMBUSO LAKE ELSINORE, CA 92530 | HEALTH NET | $87K | — | $87K | 6.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 4000 MIDLANTIC AVENUE MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $36K | $2K | $38K | 3.21% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 4000 MIDLANTIC AVE MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | — | $9K | $9K | 0.75% |
| JOSEPH HOFFMAN3 Filed as: JOSEPH MICHAEL HOFFMAN | 29110 TEMBUSO LAKE ELSINORE, CA 92530 | HEALTH NET | $11K | — | $11K | 11.28% |
| THE ORIENTATION COMPANY, INC.3 Filed as: THE ORIENTATION COMPANY INC. | 5 COWBOYS WAY, SUITE 300-I FRISCO, TX 75034 | TRUSTMARK INSURANCE COMPANY | $17K | — | $17K | 35.79% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES - IRVINE | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | TRUSTMARK INSURANCE COMPANY | $6K | — | $6K | 11.93% |
| THE ORIENTATION COMPANY, INC.3 Filed as: THE ORIENTATION COMPANY INC. | 5 COWBOY WAY - SUITE 300-1 FRISCO, TX 75034 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 31.24% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES-IRVINE | 18201 VON KARMAN AVE SUITE 200 IRVINE, CA 92612 | TRUSTMARK INSURANCE COMPANY | $952 | — | $952 | 18.36% |
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 | 201 | 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) | 201 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 728 | $2.6M |
| Dental(2 contracts, 2 carriers) | HEALTH NET | 728 | $2.6M |
| Vision(2 contracts, 2 carriers) | HEALTH NET | 728 | $2.6M |
| Life insurance(2 contracts, 2 carriers) | HEALTH NET | 201 | $146K |
| Prescription drug | AETNA HEALTH OF CALIFORNIA INC. | 755 | $3.5M |
| Other | TRUSTMARK INSURANCE COMPANY | 1 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 755 | — |
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.