| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES OF LA | 21820 BURBANK BOULEVARD SUITE 300 WOODLAND HILLS, CA 91367 | UNITED CONCORDIA INSURANCE COMPANY | $6K | — | $6K | 7.52% |
| THE HORTON GROUP3 Filed as: HORTON INSURANCE AGENCY, INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED CONCORDIA INSURANCE COMPANY | $2K | — | $2K | 2.47% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES OF LA | 21820 BURBANK BOULEVARD SUITE 300 WOODLAND HILLS, CA 913677822 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 6.66% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET SUITE 200 IRVINE, CA 92614 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 6.66% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 604675695 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $498 | $166 | $664 | 3.75% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET SUITE 200 IRVINE, CA 92614 | TRUSTMARK INSURANCE COMPANY | $813 | — | $813 | 6.62% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES OF LA | 21820 BURBANK ROAD NORTH BUILDING, SUITE 300 WOODLAND HILLS, CA 91367 | TRUSTMARK INSURANCE COMPANY | $398 | — | $398 | 3.24% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET SUITE 200 IRVINE, CA 92614 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 13.65% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES OF LA | 21820 BURBANK ROAD NORTH BUILDING, SUITE 300 WOODLAND HILLS, CA 91367 | TRUSTMARK INSURANCE COMPANY | $749 | — | $749 | 6.70% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES OF LA | 21820 BURBANK BOULEVARD SUITE 300 WOODLAND HILLS, CA 913677822 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $741 | — | $741 | 7.17% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET SUITE 200 IRVINE, CA 92614 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $741 | — | $741 | 7.17% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 604675695 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $268 | $89 | $357 | 3.46% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICE | 21820 BURBANK BOULEVARD SUITE 300 NORTH BUILDING WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $596 | — | $596 | 10.01% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICE | 21820 BURBANK BOULEVARD SUITE 300 NORTH BUILDING WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $99 | — | $99 | 9.97% |
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 | 109 | 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) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 193 | $84K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 109 | $24K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 12 | $10K |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 109 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.