| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES, INC | 100 N FIRST ST STE 301 BURBANK, CA 91502 | KAISER PERMANENTE | $32K | — | $32K | 2.04% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP | 750 THE CITY DR S STE 450 ORANGE, CA 92868 | KAISER PERMANENTE | $26K | — | $26K | 1.70% |
| STRATEGIC INSURANCE PARTNERS, LLC3 Filed as: STRATEGIC INSURANCE PARTNERS, INC | 750 THE CITY DR S STE 450 ORANGE, CA 92868 | KAISER PERMANENTE | $13K | — | $13K | 0.83% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES, INC. | — | DELTA DENTAL OF CA | $7K | — | $7K | 5.00% |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING & ASSOC INS BROKERS INC | 301 E COLORADO BLVD 200 PASADENA, CA 91101 | LINCOLN NTL LIFE INS CO | $2K | — | $2K | 10.00% |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING & ASSOC INS BROKERS INC | 301 E COLORADO BLVD 200 PASADENA, CA 91101 | LINCOLN NTL LIFE INS CO | $2K | — | $2K | 10.00% |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING & ASSOC INS BROKERS INC | 301 E COLORADO BLVD 200 PASADENA, CA 91101 | LINCOLN NTL LIFE INS CO | $1K | — | $1K | 10.00% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES, INC. | — | DELTA DENTAL | $484 | — | $484 | 5.00% |
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 | 228 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER PERMANENTE | 310 | $1.6M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CA | 167 | $149K |
| Life insurance | LINCOLN NTL LIFE INS CO | 209 | $10K |
| Short-term disability | LINCOLN NTL LIFE INS CO | 209 | $10K |
| Long-term disability | LINCOLN NTL LIFE INS CO | 207 | $19K |
| Other | LINCOLN NTL LIFE INS CO | 209 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.