| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | 3620 BIRCH STREET NEWPORT BEACH, CA 92660 | UNITED HEALTHCARE INSURANCE COMPANY | $89K | — | $89K | 2.61% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 412 CALIFORNIA STREET, FLOOR 24 SAN FEANCISCO, CA 94104 | UNITED HEALTHCARE INSURANCE COMPANY | $29K | — | $29K | 0.86% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | UNITED HEALTHCARE INSURANCE COMPANY | $22K | — | $22K | 0.65% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 101809 PASADENA, CA 91189 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $826 | $6K | 4.58% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N. EL MOLINO AVENUE PASADENA, CA 91101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $3K | $9K | 17.00% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 3.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | 115 N. MOLINO AVENUE PASADENA, CA 91101 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 11.03% |
| SOLANA INSURANCE SERVICES INC.3 | 3700 NEWPORT BLVD., SUITE 309 NEWPORT BEACH, CA 92663 | STANDARD INSURANCE COMPANY | $214 | — | $214 | 0.66% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N. EL MOLINO AVENUE PASADENA, CA 91101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $2K | $5K | 17.00% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $968 | — | $968 | 3.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 101809 PASADENA, CA 91189 | SAFEGUARD HEALTH PLANS, INC. | $1K | $161 | $1K | 4.56% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | SAFEGUARD HEALTH PLANS, INC. | $284 | — | $284 | 1.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | 115 N. EL MOLINO AVENUE PASADENA, CA 91101 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 9.12% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N. EL MOLINO AVENUE PASADENA, CA 91101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $1K | $4K | 21.00% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $831 | — | $831 | 4.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 115 N. MOLINO AVENUE PASADENA, CA 91101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $645 | $3K | 20.98% |
| SOLANA INSURANCE SERVICES INC.3 | 2700 NEWPORT BLVD., SUITE 184 NEWPORT BEACH, CA 92663 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $516 | — | $516 | 4.00% |
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 | 324 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 649 | $3.4M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 289 | $170K |
| Vision | STANDARD INSURANCE COMPANY | 174 | $22K |
| Life insurance | STANDARD INSURANCE COMPANY | 324 | $32K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 322 | $32K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 322 | $54K |
| Other(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 324 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 649 | — |
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.