| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MORGAN WHITE LIMITED3 Filed as: MORGAN WHITE GROUP | 1675 CHESTER AVE SUITE 400 BAKERSFIELD, CA 93301 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $491 | $7K | 26.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GERBER STOP-LOSS EIN 13-2611847 | Insurance services Service code 23 | — | $727K |
| HEALTHCOMP EIN 34-1607331 | Claims processing Service code 12 | — | $90K |
| BLUE CROSS LIFE & HEALTH INS CO EIN 95-4331852 | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $82K |
| SSM INSURANCE SERVICES, INC. EIN 59-3837926 BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 1 WILLOWBROOK COURT SUITE 230 PETALUMA, CA 94954 | $75K |
| AIG TRANSPLANT POLICY | Insurance services Service code 23 | 2001 GATEWAY PL SAN JOSE, CA 95110 | $64K |
| VSP EIN 22-2586639 | Claims processing Service code 12 | — | $12K |
| PREMIER ACCESS | Claims processing Service code 12 | 8890 CAL CENTER DR SACRAMENTO, CA 95826 | $9K |
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 | 440 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 440 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 440 | $25K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 440 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 440 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.