| 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 | $76K | — | $76K | 15.00% |
| FMLASOURCE INC5 | 455 N CITYFRONT PLAZA DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $23K | $23K | 4.49% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN, INC. | $19K | — | $19K | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $35K | — | $35K | 15.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | — | $7K | 3.75% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $26K | — | $26K | 15.00% |
| FMLASOURCE INC5 | 455 N. CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $6K | $6K | 3.60% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N EL MOLINO AVE PASADENA, CA 91101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | — | $16K | 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 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN, INC. | $511 | — | $511 | 5.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 102158 PASADENA, CA 91189 | METLIFE LEGAL PLANS | $601 | $14 | $615 | 8.49% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 101809 PASADENA, CA 91189 | METLIFE LEGAL PLANS | $56 | — | $56 | 0.77% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 511398 LOS ANGELES, CA 90051 | METLIFE LEGAL PLANS | — | $38 | $38 | 0.52% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BLVD SUITE 200 DULUTH, GA 30096 | METLIFE LEGAL PLANS | — | $17 | $17 | 0.23% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN, INC. | $213 | — | $213 | 12.77% |
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 | 1,649 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,657 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 68 | $578K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 4,110 | $196K |
| Life insurance(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,392 | $807K |
| Prescription drug(4 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 68 | $578K |
| Other(10 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,638 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,110 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.