| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| F.B.P. INSURANCE SERVICES, LLC3 Filed as: F B P INSURANCE SERVICES | 130 THEORY SUITE 200 IRVINE, CA 926173065 | METROPOLITAN LIFE INSURANCE COMPANY | — | $23K | $23K | 3.64% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 100878852 | METROPOLITAN LIFE INSURANCE COMPANY | $16K | $5K | $21K | 3.33% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC. | 3605 GLENWOOD AVENUE SUITE 201 RALEIGH, NC 276124954 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | — | $13K | 2.03% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC. | 414 GALLIMORE DAIRY ROAD SUITE F GREENSBORO, NC 274099693 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.28% |
| F.B.P. INSURANCE SERVICES, LLC3 Filed as: F B P INSURANCE SERVICES INC. | 130 THEORY SUITE 200 IRVINE, CA 92617 | STANDARD INSURANCE COMPANY | $15K | — | $15K | 6.88% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 3.12% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | COMMISSION LOCKBOX 28025 28025 NETWORK PLACE CHICAGO, IL 606731280 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 1.29% |
| FBP INSURANCE SERVICES3 Filed as: FBP INSURANCE SERVICES INC. | 130 THEORY SUITE 200 IRVINE, CA 92617 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 6.27% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 3.73% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX 28025 28025 NETWORK PLACE CHICAGO, IL 606731280 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.19% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.59% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC. | 3605 GLENWOOD AVENUE SUITE 201 RALEIGH, NC 27612 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.41% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INS SERVICES | 2010 MAIN STREET IRVINE CONCOURSE, SUITE 1050 IRVINE, CA 92614 | GERBER LIFE INSURANCE COMPANY | $1K | — | $1K | 15.01% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 628 | $4.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,986 | $618K |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,986 | $783K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,986 | $618K |
| Short-term disability | STANDARD INSURANCE COMPANY | 132 | $148K |
| Long-term disability | STANDARD INSURANCE COMPANY | 316 | $221K |
| Other(3 contracts, 3 carriers) | COMPSYCH | 5,063 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,063 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.