| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHARLIE E CASEY III3 | 603 W OJAI AVE SUITE B OJAI, CA 93023 | AETNA LIFE INSURANCE COMPANY | $19K | — | $19K | 2.49% |
| SC&A INSURANCE SERVICES LLC3 | 603 W OJAI AVENUE SUITE B OJAI, CA 93023 | AETNA LIFE INSURANCE COMPANY | $16K | — | $16K | 2.10% |
| SC&A INSURANCE SERVICES LLC3 Filed as: SC&A INSURANCE SERVICES | 603 W OJAI AVENUE SUITE B OJAI, CA 93023 | AETNA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.01% |
| CHARLIE E CASEY III3 | 603 W OJAI AVE SUITE B OJAI, CA 93023 | AETNA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.89% |
| CHARLES W CASEY III3 | 603 W OJAI AVE SUITE B OJAI, CA 93023 | UNICARE LIFE & HEALTH INSURANCE COMPANY | $3K | — | $3K | 12.06% |
| WILLIAM SHANBROM3 Filed as: WILLIAM J SHAMBROM | 603 W OJAI AVE SUITE B OJAI, CA 93023 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $810 | — | $810 | 14.24% |
| SC&A INSURANCE SERVICES LLC3 | 603 W OJAI AVE SUITE B OJAI, CA 93023 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $43 | — | $43 | 0.76% |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 21 | $115K |
| Dental | UNICARE LIFE & HEALTH INSURANCE COMPANY | 66 | $23K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 140 | $6K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 140 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 173 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.