| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | HEALTH NET | $85K | — | $85K | 4.98% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES | 21820 BURBANK BOULEVARD NORTH BUILDING, SUITE 300 WOODLAND HILLS, CA 91367 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $57K | — | $57K | 6.05% |
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 7.50% |
| VOLUNTARY BENEFIT ADVISORS3 Filed as: VOLUNTARY BENEFITS ADVISORS | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 7.50% |
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | — | $12K | 18.90% |
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD SUITE 300 WOODLAND HILLS, CA 91367 | WESTERN DENTAL SERVICES, INC. | $5K | — | $5K | 10.00% |
| VOLUNTARY BENEFIT ADVISORS3 Filed as: VOLUNTARY BENEFIT ADVISORS INC. | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 8.34% |
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD, SUITE 300 BURBANK, CA 91367 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.82% |
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $2K | — | $2K | 4.23% |
| LEAVITT GROUP3 | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.88% |
| HARTMAN, HOWARD, STANLEY3 | 22801 VENTURA BOULEVARD, SUITE 205 WOODLAND HILLS, CA 91364 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 2.44% |
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 | 364 | 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) | 364 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 226 | $2.6M |
| Dental(3 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 456 | $1.0M |
| Vision | VISION SERVICE PLAN | 333 | $37K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $134K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 330 | $62K |
| Long-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 330 | $63K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 226 | $2.6M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $187K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 456 | — |
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.