| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARTIN FISHMAN3 Filed as: MARTIN FISHMAN AND ASSOCIATES INC. | 6300 WILSHIRE BOULEVARD SUITE 700 LOS ANGELES, CA 90048 | HEALTH NET | $156K | $0 | $156K | 2.51% |
| MARTIN FISHMAN3 Filed as: MARTIN FISHMAN AND ASSOCIATES INC. | 6300 WILSHIRE BOULEVARD SUITE 700 LOS ANGELES, CA 90048 | KAISER FOUNDATION HEALTH PLAN INC | $149K | $0 | $149K | 3.08% |
| MARTIN FISHMAN3 Filed as: MARTIN FISHMAN AND ASSOCIATES INC. | 6300 WILSHIRE BOULEVARD SUITE 700 LOS ANGELES, CA 90048 | CYPRESS DENTAL ADMINISTRATORS | $13K | $0 | $13K | 2.78% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY INC. | 1820 EAST FIRST STREET, SUITE 400 SANTA ANA, CA 92705 | TRUSTMARK INSURANCE COMPANY | $39K | $0 | $39K | 15.97% |
| MARTIN FISHMAN3 Filed as: MARTIN FISHMAN AND ASSOCIATES INC. | 6300 WILSHIRE BOULEVARD SUITE 700 LOS ANGELES, CA 90048 | VISION SERVICE PLAN | $3K | $0 | $3K | 2.09% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY, INC. | 1820 EAST FIRST STREET, SUITE 400 SANTA ANA, CA 92705 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16K | $0 | $16K | 20.00% |
| US NATIONAL BENEFIT PARTNERS WEST3 | 99 WOOD AVENUE SOUTH, SUITE 500 ISELIN, CA 08830 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $4K | $4K | 5.00% |
| MARTIN FISHMAN3 Filed as: MARTIN FISHMAN AND ASSOCIATES INC. | 6300 WILSHIRE BOULEVARD SUITE 700 LOS ANGELES, CA 90048 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.35% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | 9171 TOWNE CENTRE DRIVE, SUITE 500 SAN DIEGO, CA 92122 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $34 | $2K | 3.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY LLC | 250 PEHLE AVENUE, SUITE 400 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $400 | $400 | 0.51% |
| MARTIN FISHMAN3 Filed as: MARTIN FISHMAN AND ASSOCIATES INC. | 6300 WILSHIRE BOULEVARD SUITE 700 LOS ANGELES, CA 90048 | REACH EMPLOYEE ASSISTANCE, INC. | $804 | $0 | $804 | 3.00% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY INC. | 1820 EAST FIRST STREET, SUITE 400 SANTA ANA, CA 92705 | AMERICAN FIDELITY ASSURANCE COMPANY | $797 | $0 | $797 | 12.47% |
| HEALTH FORUM3 | UNKNOWN CHICAGO, IL 60606 | AMERICAN FIDELITY ASSURANCE COMPANY | $255 | $0 | $255 | 3.99% |
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 | 930 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 937 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 757 | $11.0M |
| Dental | CYPRESS DENTAL ADMINISTRATORS | 802 | $473K |
| Vision | VISION SERVICE PLAN | 790 | $158K |
| Life insurance(2 contracts, 2 carriers) | TRUSTMARK INSURANCE COMPANY | 930 | $323K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 22 | $6K |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 167 | $89K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 757 | $11.0M |
| Other(4 contracts, 4 carriers) | TRUSTMARK INSURANCE COMPANY | 1,108 | $357K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,108 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.