| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $83K | — | $83K | 15.00% |
| FMLASOURCE INC5 | 455 N CITYFRONT PLAZA DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $24K | $24K | 4.32% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $36K | — | $36K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $29K | — | $29K | 15.00% |
| FMLASOURCE INC5 | 455 N. CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 3.46% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | — | $17K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 102158 PASADENA, CA 91189 | METROPOLITAN GENERAL INSURANCE COMPANY | $550 | — | $550 | 14.29% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD INSURANCE BROKERS & CONSUL | ONE CALIFORNIA STREET SUITE 400 SAN FRANCISCO, CA 94111 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $95 | $95 | 2.47% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 765 BAYWOOD DRIVE SUITE 540 PETALUMA, CA 94954 | METROPOLITAN GENERAL INSURANCE COMPANY | — | $49 | $49 | 1.27% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 102158 PASADENA, CA 91189 | METLIFE LEGAL PLANS | $367 | — | $367 | 10.70% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 765 BAYWOOD DRIVE SUITE 540 PETALUMA, CA 94954 | METLIFE LEGAL PLANS | — | $49 | $49 | 1.43% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD INSURANCE BROKERS & CONSUL | ONE CALIFORNIA STREET SUITE 400 SAN FRANCISCO, CA 95111 | METLIFE LEGAL PLANS | — | $32 | $32 | 0.93% |
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 | 1,703 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,713 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 4,215 | $196K |
| Life insurance(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,426 | $879K |
| Other(11 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,633 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,215 | — |
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.