| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALICIA SOLIS3 | 26125 MANZANITA ST. MURIETTA, CA 92563 | AETNA HEALTH, INC. | $118K | $0 | $118K | 4.99% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 1600 WEST HILLSDALE BLVD. SUITE 201 SAN MATEO, CA 94402 | AETNA HEALTH, INC. | $36K | $0 | $36K | 1.50% |
| ALICIA SOLIS3 | 26125 MANZANITA ST MURRIETA, CA 92563 | AETNA LIFE INSURANCE COMPANY | $87K | $0 | $87K | 5.58% |
| AMWINS3 Filed as: LISI, INC. | 1600 WEST HILLSDALE BLVD. SAN MATEO, CA 944924082 | AETNA LIFE INSURANCE COMPANY | $30K | $0 | $30K | 1.91% |
| ALICIA SOLIS3 | 26125 MANZANITA ST MURIETTA, CA 92563 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | $0 | $23K | 10.02% |
| AMWINS3 Filed as: LISI TTC | 2677 N. MAIN ST. SUITE 800 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $2K | $14K | 6.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH, LLC EIN 33-0052273 N//A | Plan Administrator Service code 14 | 151 FARMINGTON AVE.,RSAA HARTFORD, CT 06156 | $5K |
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 | 569 | 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) | 569 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 569 | $1.6M |
| Dental | AETNA LIFE INSURANCE COMPANY | 569 | $1.6M |
| Vision | AETNA LIFE INSURANCE COMPANY | 569 | $1.6M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 358 | $228K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 358 | $228K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 358 | $228K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 358 | $228K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 569 | — |
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.